Organization
DR ZISHAN BADER DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZISHAN BADER DDS (PRESIDENT)
(708) 369-6232
Entity
Organization
Contact information
Practice address
654 E 47TH ST, CHICAGO, IL 60653-4224
(773) 624-5800
Mailing address
654 E 47TH ST, CHICAGO, IL 60653-4224
(773) 624-5800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028083
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019028083
—
IL
Enumeration date
02/01/2017
Last updated
02/01/2017
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