Individual
DR. MUSERRAH SHUBLAQ SALEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1515 S PRAIRIE AVE UNIT 1201, CHICAGO, IL 60605-3156
(708) 297-6265
Mailing address
1515 S PRAIRIE AVE UNIT 1201, CHICAGO, IL 60605-3156
(708) 297-6265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031746
IL
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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