Individual
DR. ASHRAF AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3916 N CICERO AVE, CHICAGO, IL 60641-2709
(773) 283-3513
Mailing address
3916 N CICERO AVE, CHICAGO, IL 60641-2709
(773) 283-3513
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026287
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005813
—
IL
Enumeration date
10/20/2005
Last updated
07/14/2007
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