Individual
JUWAIRIYA SYED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
75 W NORTH AVE, #400, NORTHLAKE, IL 60164-2306
(708) 562-5100
Mailing address
75 W NORTH AVE, #400, NORTHLAKE, IL 60164-2306
(708) 562-5100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030363
IL
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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