Individual
DILMUBARAK SHEIKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
106 N 19TH AVE, MELROSE PARK, IL 60160-3755
(708) 615-0600
(708) 615-0506
Mailing address
364 HIGHKNOB RD, BOLINGBROOK, IL 60440-3268
(630) 679-1334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-024174
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019-024174
IL STATE DENTAL LIC #
IL
01
—
20-0151353
TAX ID #
IL
Enumeration date
12/11/2006
Last updated
07/08/2007
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