| Chatham Dentalworks Pc | |
|
8803 S Stony Island Ave Chicago IL 60617-2810 | |
| (773) 375-0303 | |
| (773) 375-9018 |
| Full Name | Chatham Dentalworks Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8803 S Stony Island Ave, Chicago, Illinois |
| Authorized Official Name and Position | Reginald T Baker (CEO) |
| Authorized Official Contact | 7733750303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chatham Dentalworks Pc 8803 S Stony Island Ave Chicago IL 60617-2810 Ph: (773) 375-0303 | Chatham Dentalworks Pc 8803 S Stony Island Ave Chicago IL 60617-2810 Ph: (773) 375-0303 |
| NPI Number | 1730467796 |
|---|---|
| Provider Enumeration Date | 07/25/2011 |
| Last Update Date | 07/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730467796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019025166 (Illinois) | Primary |
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