institution
Edp Of Wisconsin, Sc
Dental Clinic/Center in Chicago, Illinois
NPI 1962961672

Edp Of Wisconsin, Sc is a Dental Clinic/Center based in Chicago, IL and is specialized in Dental. Edp Of Wisconsin, Sc practices in Chicago, IL. The NPI Number for Edp Of Wisconsin, Sc is 1962961672 and holds a License No. (Illinois).

The current practice location address for Edp Of Wisconsin, Sc is 141 W Jackson Blvd, Chicago, IL and can be reached out via phone at 312-937-3619.

Location: 141 W Jackson Blvd, Chicago, IL, 60604-3048
institution
Provider Profile Details
NPI Number
1962961672
Provider Name
Edp Of Wisconsin, Sc
Credential
Provider Entity Type
Organization
Address
141 W Jackson Blvd, Chicago, IL, 60604-3048
Phone Number
312-937-3619
Fax Number
Provider Enumeration Date
03/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
141 W Jackson Blvd
City
State
Zip
60604-2992
Phone Number
312-937-3619
Fax Number
person
Provider Business Mailing Address Details
Address
141 W Jackson Blvd
City
State
Zip
60604-2992
Phone Number
312-937-3619
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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