| Chicago Center For Advanced Dentistry | |
|
222 N Lasalle St 230b Chicago IL 60601 | |
| (312) 704-5511 | |
| (312) 346-3991 |
| Full Name | Chicago Center For Advanced Dentistry |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 222 N Lasalle St 230b, Chicago, Illinois |
| Authorized Official Name and Position | Stuart Schelkopf (DENTIST PARTNER) |
| Authorized Official Contact | 3127045511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Center For Advanced Dentistry 222 N Lasalle St 230b Chicago IL 60601 Ph: (312) 704-5511 | Chicago Center For Advanced Dentistry 222 N Lasalle St 230b Chicago IL 60601 Ph: (312) 704-5511 |
| NPI Number | 1811527013 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811527013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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