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Search › Illinois › 122300000X

Momina Rahman

NPI 1376024026 · on the registry since 2018

Practice

Address
110 N Larkin Ave
Joliet, IL 60435
Phone
(815) 310-3220
Organisation at this address
Shining Smiles 4, Inc
Smile Family Dental Joliet Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois