Ali, Mustafa Siddiq

Ali, Mustafa Siddiq is an individual health care provider with primary practice located at 4630 S Bishop St , Chicago IL 60609-3240. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ali, Mustafa Siddiq can be contacted via phone (773) 523-2615.

Contact Information

Primary practice address
4630 S Bishop St Chicago IL 60609-3240
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.033703 Illinois

Profile Details

NPI number 1134859630
LBN Legal business name Ali, Mustafa Siddiq
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2022
Last updated Jun 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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