Individual
DR. ADHAM RAJI BADWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8752 W 159TH ST, ORLAND PARK, IL 60462-4891
(708) 403-3900
Mailing address
17324 AVON LN, TINLEY PARK, IL 60487-2203
(708) 856-7175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030453
IL
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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