Individual
DR. RAZA ALI HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1025 W MONROE ST UNIT 3W, CHICAGO, IL 60607-2745
(312) 493-4265
Mailing address
1025 W MONROE ST UNIT 3W, CHICAGO, IL 60607-2745
(312) 493-4265
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.026859
IL
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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