Mohammed Adil Asim DDS

NPI 1043412620 - Dentist - 1223G0001X

NPI Details
NPI 1043412620
Gender Male
Enumeration Date 06/05/2007
Last Updated 06/16/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
4434 W FULLERTON AVE
CHICAGO IL, 60639-1932, US
Phone (773) 486-6500
Fax (773) 486-6556
Business Location
75 W. NORTH AVE SUITE 400
NORTHLAKE IL, 60164, US
Phone (708) 562-5100
Fax (708) 562-5112
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019027367
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According to our database, Dr. Mohammed Adil Asim DDS NPI is 1043412620, taxonomy code is 1223G0001X and license number is 019027367, license state is located at Illinois. Mohammed Adil Asim DDS physically located at 4434 W Fullerton Ave, Chicago IL, 60639-1932. NPI Number Mohammed Adil Asim DDS has the Individual type.

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1043412620 NPI number is provided on an as is basis without warranty of any kind. 1043412620 is maintained by the National Plan & Provider Enumeration System. The contents of Mohammed Adil Asim DDS are for informational purposes only.