Individual
SAJJAD SHIRAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Contact information
Practice address
811 W WELLINGTON AVE, CHICAGO, IL 60657-5123
(773) 871-6138
(773) 871-6353
Mailing address
811 W WELLINGTON AVE, CHICAGO, IL 60657-5123
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
018.002269
IL
Other
Enumeration date
03/25/2024
Last updated
06/22/2024
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