Individual
FARAH SHAKIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2545 W PETERSON AVE, 201, CHICAGO, IL 60659
(773) 561-2808
Mailing address
6520 JOLIET RD, COUNTRYSIDE, IL 60525-4649
(708) 354-4545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030348
IL
122300000X
Dentist
319019572
IL
Other
Enumeration date
08/20/2015
Last updated
09/15/2022
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