DR. Shahram Raoof, D.M.D

NPI #1063903656 in Chicago, Illinois

Provider Information

NPI Number: 1063903656
Entity Type: Individual
Name: DR. Shahram Raoof, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: May 20, 2018
Last Updated: Mar 21, 2024

Practice Location

Address: 808 S MICHIGAN AVE APT 5305
City: Chicago
State: Illinois
ZIP Code: 60605-2660
Phone: (312) 813-3761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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