Individual
AMINA QUADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7250 S CICERO AVE STE F, CHICAGO, IL 60629-5849
(708) 496-8896
Mailing address
3721 DORY CIR E, HANOVER PARK, IL 60133-6270
(708) 863-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030261
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019030261
—
IL
Enumeration date
07/13/2015
Last updated
07/13/2015
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