Individual
DR. KAMBEZ SHUKOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3001 6TH ST STE A, GREAT LAKES, IL 60088-2833
(847) 688-3331
(847) 688-6259
Mailing address
706 1/2 HINNMAN, 2B, EVANSTON, IL 60201
(757) 472-0189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412552
VA
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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