Individual
HUSSIEN AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8841 RIDGELAND AVE, OAK LAWN, IL 60453-1002
(708) 599-8122
Mailing address
5955 W EASTWOOD AVE, CHICAGO, IL 60630-3104
(314) 435-4380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032594
IL
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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