Individual
HUSSAIN ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1726 W 18TH ST, CHICAGO, IL 60608-3994
(312) 733-7454
Mailing address
1726 W 18TH ST, CHICAGO, IL 60608-3994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029848
IL
Other
Enumeration date
06/22/2014
Last updated
06/22/2014
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