Organization
NIDA A. MAROUF, D.M.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIDA A. MAROUF D.M.D. (PRESIDENT/DENTIST)
(773) 293-0606
Entity
Organization
Contact information
Practice address
5787 N LINCOLN AVE, CHICAGO, IL 60659-4722
(773) 293-0606
(773) 751-5237
Mailing address
2721 SUMMIT AVE, HIGHLAND PARK, IL 60035-1325
(847) 681-2229
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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