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NPI Code Detail

MEDICARE: DR. LUBNA KADIR DDS

MEDICARE: DR. LUBNA KADIR DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist019.029587IL

General Provider Information

NPI Number : 1194156042
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUBNA KADIR DDS
Provider Business Mailing Address
First Line : 3190 N ELSTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-5845
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3190 N ELSTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-5845
Country : US
Telephone Number : 773-267-9777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2013
Last Update Date : 12/03/2013

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Directions to “ DR. LUBNA KADIR DDS” Practice Location

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