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Search › Illinois › 122300000X

Roham Kashanimoghaddam

NPI 1841078193 · on the registry since 2023

Practice

Address
6258 S Pulaski Rd
Chicago, IL 60629
Phone
(773) 777-6363
Organisation at this address
Midway Family Dental, Llc
Pulaski Road Dentistry Pllc
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
Male
Record last updated
2023-09-18

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