Ahmed Mansour

NPI #1003469636 in Chicago, Illinois

Provider Information

NPI Number: 1003469636
Entity Type: Individual
Name: Ahmed Mansour
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 23, 2019
Last Updated: Jul 23, 2019

Practice Location

Address: 2122 N MILWAUKEE AVE STE 1
City: Chicago
State: Illinois
ZIP Code: 60647-4251
Phone: (773) 227-1245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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