Individual
NAIM SHUAIPAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11808 S PULASKI RD, ALSIP, IL 60803-1608
(708) 489-6222
Mailing address
13800 SKENDER CT, HOMER GLEN, IL 60491-7219
(630) 432-3825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033111
IL
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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