Individual
ADIBA JAGIRDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
75 W NORTH AVE STE 400, NORTHLAKE, IL 60164-2314
(708) 562-5100
Mailing address
841 N YORK ST APT 302, ELMHURST, IL 60126-1249
(630) 923-9043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031290
IL
Other
Enumeration date
10/18/2017
Last updated
03/17/2018
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