Individual
DR. MOHAMMED ALYAGOOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4445 N PULASKI RD, CHICAGO, IL 60630-4400
(773) 961-8555
Mailing address
4445 N PULASKI RD, CHICAGO, IL 60630-4400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033119
IL
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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