Mir, Mohammed Murtaza Ali
Mir, Mohammed Murtaza Ali is an sole proprietor health care provider with primary practice located at 144 W Roosevelt Rd , Villa Park IL 60181-3504. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mir, Mohammed Murtaza Ali can be contacted via phone (773) 548-0600.Contact Information
Primary practice address
144 W Roosevelt Rd
Villa Park IL 60181-3504
Phone: (773) 548-0600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019.033098 | Illinois |
Profile Details
| NPI number | 1205402625 |
|---|---|
| LBN Legal business name | Mir, Mohammed Murtaza Ali |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2021 |
| Last updated | May 27th, 2021 - about 5 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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