Individual
AHMED MASSAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3939 W FULLERTON AVE, CHICAGO, IL 60647-2243
(708) 916-2406
Mailing address
1063 W TAYLOR ST APT 2, CHICAGO, IL 60607-4973
(708) 916-2406
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033104
IL
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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