Individual
IBRAAHIM BADAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1625 N MILWAUKEE AVE, CHICAGO, IL 60647-0367
(312) 846-6752
Mailing address
1625 N MILWAUKEE AVE, CHICAGO, IL 60647-0367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019035282
IL
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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