Individual
RAMI MIKATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2959 S WALLACE ST, CHICAGO, IL 60616-3034
(312) 326-5437
Mailing address
1249 W MADISON ST UNIT 305, CHICAGO, IL 60607-1521
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021002918
IL
Other
Enumeration date
03/23/2016
Last updated
07/01/2019
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