Organization
DR. LULJETA JUSUFI D.D.S.,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LULJETA JUSUFI DDS (DENTIST)
(773) 755-4000
Entity
Organization
Contact information
Practice address
3166 N LINCOLN AVE, SUITE 300, CHICAGO, IL 60657-3133
(773) 755-4000
(773) 755-4431
Mailing address
3166 N LINCOLN AVE, SUITE 300, CHICAGO, IL 60657-3133
(773) 755-4000
(773) 755-4431
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024831
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102271
—
IL
Enumeration date
09/20/2016
Last updated
09/20/2016
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