Whalio Doctors

NPI 1043737919

Syed Muhammad Shahabuddin, DDS

Practitioner Dentist Bolingbrook, IL

Practice location

Address
311 N Bolingbrook Dr, Bolingbrook, IL 60440-1968
Phone
(630) 914-3505
Fax
(630) 914-3508
Mailing address
368 W Washington St, East Peoria, IL 61611-2036

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 019031376 (IL)

Registry record

NPI
1043737919
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Aug 2017
Record last updated
12 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.