Susarrey, Aziz Roman
Susarrey, Aziz Roman is an individual health care provider with primary practice located at 7345 W 25Th St , North Riverside IL 60546-1409. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Susarrey, Aziz Roman can be contacted via phone (708) 447-0900.Contact Information
Primary practice address
7345 W 25Th St
North Riverside IL 60546-1409
Phone: (708) 447-0900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019.032169 | Illinois |
Profile Details
| NPI number | 1669961173 |
|---|---|
| LBN Legal business name | Susarrey, Aziz Roman |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2018 |
| Last updated | May 6th, 2024 - about last year |
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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