Individual
FAUZIA KHAN-ALSIKAFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 LAKE ST, OAK PARK, IL 60302-2612
(708) 848-0528
Mailing address
238 MOFFETT RD, LAKE BLUFF, IL 60044-2814
(312) 404-2635
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-025320
IL
Other
Enumeration date
02/28/2007
Last updated
10/08/2010
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