Individual
DR. BASEM RASHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
939 W NORTH AVE STE 890, CHICAGO, IL 60642-8683
(609) 510-9050
Mailing address
939 W NORTH AVE STE 890, CHICAGO, IL 60642-8683
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13572
CT
1223G0001X
General Practice Dentistry
Primary
019033983
IL
Other
Enumeration date
10/17/2022
Last updated
04/03/2023
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