Individual
MADHULI BHIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
23 W ROLLINS RD, ROUND LAKE BEACH, IL 60073-1350
(847) 740-4600
Mailing address
1414 NOTTINGHAM LN APT 106H, MUNDELEIN, IL 60060-4354
(920) 939-0104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033934
IL
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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