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NPI Code Detail

MEDICARE: DR. ALAMDAR H BADER DDS

MEDICARE: DR. ALAMDAR H BADER 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
1122300000XDentist019-020210IL

General Provider Information

NPI Number : 1801877089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAMDAR H BADER DDS
Provider Business Mailing Address
First Line : 654 E 47TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60653-4224
Country : US
Telephone Number : 773-624-5800
Fax Number : 773-624-5858
Provider Business Practice Location Address
First Line : 654 E 47TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60653-4224
Country : US
Telephone Number : 773-624-5800
Fax Number : 773-624-5858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 06/08/2023

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