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Contact Information

ANGELIQUE FORD
533 E 33RD PL
607
CHICAGO, IL60616-4112
 Phone: 773-544-5302
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ANGELIQUE FORD · (Female)

NPI Number 1710136635
Status Active
Credentials
Entity Individual
Enumeration date 09/16/2008
Last updated 09/16/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019026718
  • IL License # 021002281
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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