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Individual

DR. IRBAD CHOWDHURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
3236 W FULLERTON AVE, CHICAGO, IL 60647-2512
(773) 276-0300
Mailing address
165 N CANAL ST APT 609, CHICAGO, IL 60606-1504
(847) 372-6410

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028375
IL

Other

Enumeration date
10/01/2010
Last updated
12/20/2019
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