Individual
DR. KAIVON MORADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(312) 996-7555
Mailing address
11 MESA DR, SOUTH BARRINGTON, IL 60010-1094
(847) 809-9132
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.035222
IL
Other
Enumeration date
03/22/2024
Last updated
09/26/2024
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