Individual
FAYEK AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2937 N. STATE IL-178, SUITE 2, UTICA, IL 61373
(815) 993-3101
Mailing address
5003 W ROSCOE ST APT 2, CHICAGO, IL 60641-4202
(773) 558-7186
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034384
IL
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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