Individual
KASHIF ABDUL RAZZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4501 S STATE ST, CHICAGO, IL 60609-3758
(773) 548-0600
Mailing address
202 HOMEWOOD DR, BOLINGBROOK, IL 60440-2526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019035394
IL
122300000X
Dentist
RES.004440
OH
Other
Enumeration date
04/11/2022
Last updated
07/23/2024
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