Rene Albishara
Dentist in Chicago, IL. Individual provider (NPI-1).
NPI number1144950643
StatusActive
Last updated in NPPESJun 16, 2022
Details
- NPI
- 1144950643
- Entity type
- Individual (NPI-1)
- Name
- Rene Albishara
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2022
- Certification date
- Jun 16, 2022
- Last updated
- Jun 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019.033603 | IL | Yes |
Practice location
4901 N Kedzie AveChicago, IL 60625-5009
Phone 773-509-9200
Mailing address
8 Sterling Cir Apt 203Wheaton, IL 60189-8492
Phone 317-224-4719
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