Individual
IHMUD IHMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1576 W LANE RD, MACHESNEY PK, IL 61115-1903
(815) 749-9660
Mailing address
2745 N MULLIGAN AVE, CHICAGO, IL 60639-1027
(312) 532-8437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.037181
IL
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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