Individual
DR. AFAQ MOHAMMAD KHEIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2316 W MADISON ST, CHICAGO, IL 60612-2228
(312) 491-0601
(312) 491-0602
Mailing address
1200 W MONROE ST APT 603, CHICAGO, IL 60607-2550
(312) 243-0029
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9177289
—
IL
Enumeration date
01/30/2007
Last updated
07/09/2007
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