| Candid Illinois, Pllc | |
|
750 N Franklin St Fl Stc2 Chicago IL 60654-6263 | |
| (702) 738-5334 | |
| Not Available |
| Full Name | Candid Illinois, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 750 N Franklin St Fl Stc2, Chicago, Illinois |
| Authorized Official Name and Position | Chester Lynn Hurst (PRESIDENT) |
| Authorized Official Contact | 7027385334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candid Illinois, Pllc 750 N Franklin St Fl Stc2 Chicago IL 60654-6263 Ph: () - | Candid Illinois, Pllc 750 N Franklin St Fl Stc2 Chicago IL 60654-6263 Ph: (702) 738-5334 |
| NPI Number | 1750944252 |
|---|---|
| Provider Enumeration Date | 04/19/2019 |
| Last Update Date | 04/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750944252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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