Organization
NOOR OBAISI, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOOR OBAISI DDS, MS (PRESIDENT)
(217) 314-0033
Entity
Organization
Contact information
Practice address
3334 W PETERSON AVE, LOWER LEVEL, CHICAGO, IL 60659-3505
(773) 588-9200
Mailing address
3334 W PETERSON AVE, LOWER LEVEL, CHICAGO, IL 60659-3505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028304
IL
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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