Organization · NPI-2
Agility Healthcare Group
Dental Laboratory · Chicago, IL
NPI number1467312942
StatusActive
Last updated in NPPESNov 17, 2025
Details
- NPI
- 1467312942
- Entity type
- Organization (NPI-2)
- Legal business name
- Agility Healthcare Group
- Organization subpart
- No
- Enumeration date
- Nov 17, 2025
- Certification date
- Nov 17, 2025
- Last updated
- Nov 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 292200000X | Dental Laboratory | – | – | Yes |
Practice location
6524 N Rockwell StChicago, IL 60645-5322
Phone 312-312-7907 · Fax 312-312-7989
Mailing address
6524 N Rockwell StChicago, IL 60645-5322
Phone 312-312-7907 · Fax 312-312-7989
Authorized official
Milnesha L Perez
Owner
3123127907
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