Individual provider · Type 1 NPI
Ahmed Mansour
General Practice Dentistry · Chicago, IL
NPI number
1003469636
Active
Practice location
2122 N Milwaukee Ave Ste 1
Chicago, IL 60647-4251
Mailing address
502 N Addison Rd
Villa Park, IL 60181-1431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019032164 (IL) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1003469636
Ahmed Mansour's National Provider Identifier is 1003469636, issued on Jul 23, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Jul 23, 2019.