Organization
ROHANISH ENTERPRISES INC
Active
Other names
Stratford Square Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JUZER CHINWALLA DDS (OWNER)
(630) 582-3120
Entity
Organization
Contact information
Practice address
290 SPRINGFIELD DRIVE, SUITE 140, BLOOMINGDALE, IL 60108
(630) 582-3120
(630) 582-3137
Mailing address
290 SPRINGFIELD DRIVE, SUITE 140, BLOOMINGDALE, IL 60108
(630) 582-3120
(630) 582-3137
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
019023850
IL
Other
Enumeration date
01/26/2007
Last updated
01/28/2009
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