Individual
KASSIM M BAZIRGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3435 W IRVING PARK RD, CHICAGO, IL 60618-3217
(773) 588-8200
(773) 588-8208
Mailing address
3435 W IRVING PARK RD, CHICAGO, IL 60618-3217
(773) 588-8200
(773) 588-8208
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031698
IL
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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