Organization · NPI-2

1st Family Dental Of Chicago INC

Dentist · Chicago, IL

NPI number1255659819
StatusActive
Last updated in NPPESMay 6, 2010

Details

NPI
1255659819
Entity type
Organization (NPI-2)
Legal business name
1st Family Dental Of Chicago INC
Organization subpart
No
Enumeration date
May 6, 2010
Last updated
May 6, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Practice location

206 W Division St
Chicago, IL 60610-1821

Phone 312-266-6400

Mailing address

5333 N Clark St
Chicago, IL 60640-2121

Phone 773-728-5333 · Fax 773-739-4300

Authorized official

Vesna Belkic
General Manager
7733408318

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