Masoud, Fadi S.

Masoud, Fadi S. is an sole proprietor health care provider with primary practice located at 5821 W 87Th St , Oak Lawn IL 60453-1295. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Masoud, Fadi S. can be contacted via phone (708) 529-3966.

Contact Information

Primary practice address
5821 W 87Th St Oak Lawn IL 60453-1295
Phone: (708) 529-3966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 021002470 Illinois

Profile Details

NPI number 1710015128
LBN Legal business name Masoud, Fadi S.
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Sep 10th, 2012 - about 12 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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