Individual
NAZIK SHABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2821 GRAND AVE, WAUKEGAN, IL 60085-2372
(847) 662-4400
(847) 662-4401
Mailing address
430 W ERIE ST, SUITE 200, CHICAGO, IL 60654-6914
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.028648
IL
Other
Enumeration date
07/27/2011
Last updated
01/11/2013
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