institution
Chicago Avenue Dental Group Ltd.
Dental Clinic/Center in Chicago, Illinois
NPI 1578708707

Chicago Avenue Dental Group Ltd. is a Dental Clinic/Center based in Chicago, IL and is specialized in Dental. Chicago Avenue Dental Group Ltd. practices in Chicago, IL. The NPI Number for Chicago Avenue Dental Group Ltd. is 1578708707 and holds a License No. 019016644 (Illinois).

The current practice location address for Chicago Avenue Dental Group Ltd. is 1802 W Chicago Ave, Chicago, IL and can be reached out via phone at 773-276-0633 and via fax at 773-276-0687.

Location: 1802 W Chicago Ave, Chicago, IL, 60622-5512
institution
Provider Profile Details
NPI Number
1578708707
Provider Name
Chicago Avenue Dental Group Ltd.
Credential
Provider Entity Type
Organization
Address
1802 W Chicago Ave, Chicago, IL, 60622-5512
Phone Number
773-276-0633
Fax Number
773-276-0687
Provider Enumeration Date
12/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1802 W Chicago Ave
City
State
Zip
60622-5512
Phone Number
773-276-0633
Fax Number
773-276-0687
person
Provider Business Mailing Address Details
Address
1802 W Chicago Ave
City
State
Zip
60622-5512
Phone Number
773-276-0633
Fax Number
773-276-0687
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
019016644 (Illinois)
Definition
Definition to come...
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