Individual
ANTARA GOSWAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.D.S
Contact information
Practice address
10727 W 159TH ST, ORLAND PARK, IL 60467-4531
(708) 364-1102
Mailing address
625 W MADISON ST APT 1811, CHICAGO, IL 60661-2728
(516) 540-3438
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.035501
IL
Other
Enumeration date
09/25/2024
Last updated
07/01/2025
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