Woodlawn Dental Gallery
Woodlawn Dental Gallery provides Dentist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
Practice location Address checks out
1502 E 63rd StChicago, IL 60637-2921 Not confirmed with CMS for 11 years — call before visiting
Phone: (773) 496-5138
Fax: (773) 496-5142
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019027749 (IL) |
|---|
Record details
| NPI number | 1568838043 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ogbonna Bowden — President · (773) 793-1220 |
| NPI enumerated | August 19, 2015 |
| Last updated in NPPES | August 19, 2015 |
| Mailing address | 8544 S Stony Island Ave, Chicago, IL 60617-2248 |
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