Individual
DR. ISAAC A QURESHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1400 W 47TH ST STE 7, LA GRANGE, IL 60525-6148
(708) 482-4420
(708) 482-4421
Mailing address
1400 W 47TH ST, UNIT 7, LA GRANGE, IL 60525-6141
(708) 482-4420
(708) 482-4421
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-029531
IL
Other
Enumeration date
07/29/2013
Last updated
11/28/2016
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