Organization
DHCCLTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED WAHEED (DENTIST)
(773) 656-3170
Entity
Organization
Contact information
Practice address
319 N WEBER RD, 397, BOLINGBROOK, IL 60490-1569
(773) 656-3170
Mailing address
319 N WEBER RD, 397, BOLINGBROOK, IL 60490-1569
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028978
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019028978
—
IL
Enumeration date
03/13/2015
Last updated
03/13/2015
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