University of Illinois at Chicago, Dept of Prosthodonitcs
University of Illinois at Chicago, Dept of Prosthodonitcs provides Dental Clinic/Center services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
801 S Paulina St Rm 361 DentChicago, IL 60612-7210 Not confirmed with CMS for 10 years — call before visiting
Phone: (312) 355-0301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 019.029461 (IL) |
|---|
Record details
| NPI number | 1952767808 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephanie Clarke — Clinic Director · (312) 996-3535 |
| NPI enumerated | January 7, 2016 |
| Last updated in NPPES | January 7, 2016 |
| Mailing address | 801 S Paulina St, Rm 361 Dent, Chicago, IL 60612-7210 |
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