Izaz Shaik
Izaz Shaik is a Dentist in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
1407 N Veterans Pkwy Ste 12Bloomington, IL 61704-6425
Phone: (201) 852-2435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 19033699 (IL) |
|---|
Record details
| NPI number | 1326777665 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 9, 2022 |
| Last updated in NPPES | June 9, 2022 |
| Certification date | June 9, 2022 |
| Mailing address | 1726 Eide Rd, Bloomington, IL 61704-8734 |
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