Individual
JASMIN GHASEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5621 W MONTROSE AVE, CHICAGO, IL 60634-1830
(773) 427-1000
Mailing address
5621 W MONTROSE AVE, CHICAGO, IL 60634-1830
(773) 427-1000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019035247
IL
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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