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1164778197
AMJAD JALIL ALQAZAHA
CHICAGO, IL
NPI
1164778197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019-029072)
Enumeration Date
2012-07-27
Last Update Date
2019-11-14
Business Address
AMJAD JALIL ALQAZAHA D.D.S.
5672 S ARCHER AVE
CHICAGO, IL 60638-1641
Phone number: 773-435-9933
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Mailing Address
AMJAD JALIL ALQAZAHA D.D.S.
5672 S ARCHER AVE
CHICAGO, IL 60638-1641
Phone number: 773-435-9933
Copy
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