Individual
HUSSEIN O ADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
2160 S FIRST AVE, MAGUIRE CENTER, ROOM 1815, MAYWOOD, IL 60153
(708) 327-2700
(708) 327-3474
Mailing address
2160 S FIRST AVE, MAGUIRE CENTER, ROOM 1815, MAYWOOD, IL 60153
(708) 327-2700
(708) 327-3474
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019027178
IL
208600000X
Surgery Physician
019027178
IL
Other
Enumeration date
11/08/2006
Last updated
10/15/2010
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