institution
Ida Mae Dental Clinic
Dental Clinic/Center in Chicago, Illinois
NPI 1750899282

Ida Mae Dental Clinic is a Dental Clinic/Center based in Chicago, IL and is specialized in Dental. Ida Mae Dental Clinic practices in Chicago, IL. The NPI Number for Ida Mae Dental Clinic is 1750899282 and holds a License No. 019-025956 (Illinois).

The current practice location address for Ida Mae Dental Clinic is 8941 S Western Ave, Chicago, IL and can be reached out via phone at 773-951-5650.

Location: 8941 S Western Ave, Chicago, IL, 60620-3211
institution
Provider Profile Details
NPI Number
1750899282
Provider Name
Ida Mae Dental Clinic
Credential
Provider Entity Type
Organization
Address
8941 S Western Ave, Chicago, IL, 60620-3211
Phone Number
773-951-5650
Fax Number
Provider Enumeration Date
01/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8941 S Western Ave
City
State
Zip
60643-6432
Phone Number
773-951-5650
Fax Number
person
Provider Business Mailing Address Details
Address
8941 S Western Ave
City
State
Zip
60643-6432
Phone Number
773-951-5650
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
019-025956 (Illinois)
Definition
Definition to come...
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