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Contact Information

DENTAL GROUP OF CHICAGO
1556 S MICHIGAN AVE
#200
CHICAGO, IL60605
 Phone: 872-328-4304
 Fax: 312-588-0287
 Website: https://dentalgroupofchicago.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for DENTAL GROUP OF CHICAGO · (Female)

NPI # 1093063893
Status Active
Credentials
Entity Individual
Enumeration date 08/27/2012
Last updated 08/27/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 019.019480
  • IL License # 021.001397
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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