Shirelake Group LLC

NPI #1508084823 in Lincolnshire, Illinois

Provider Information

NPI Number: 1508084823
Entity Type: Organization
Organization Name: Shirelake Group LLC
Primary Specialty: Dentist
Enumeration Date: Apr 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 430 MILWAUKEE AVE
Address 2: #7
City: Lincolnshire
State: Illinois
ZIP Code: 60069-3015
Phone: (847) 478-9640

Authorized Official

Name: MRS. FATEMEH AFSHAR, D.D.S
Title: OWNER CEO
Phone: (847) 478-9640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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