Organization
FAMOUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARAH TAZEEN KHATOON DMD (DENTIST PROVIDER)
(630) 398-2782
Entity
Organization
Contact information
Practice address
261 W BERKLEY LN, HOFFMAN ESTATES, IL 60169-1842
(630) 398-2782
Mailing address
261 W BERKLEY LN, HOFFMAN ESTATES, IL 60169-1842
(630) 398-2782
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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