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Individual

ARWA HUSSAIN CHAIWALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
520 N 4TH ST, SPRINGFIELD, IL 62702-5238
(217) 545-8000
(217) 757-8161
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.035866
IL
1223G0001X
General Practice Dentistry
019.035866
IL
1223G0001X
General Practice Dentistry
10870
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/27/2023
Last updated
07/08/2025
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