Individual
RIZWAN BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 W LAKE ST, ADDISON, IL 60101-2307
(630) 576-0586
Mailing address
516 W LAKE ST, ADDISON, IL 60101-2307
(630) 279-3333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033920
IL
122300000X
Dentist
6001045
WI
Other
Enumeration date
08/12/2022
Last updated
06/20/2024
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