| Compass Dental Of Lincoln Square | |
|
2334 W Lawrence Ave Ste 215 Chicago IL 60625-1036 | |
| (773) 561-5747 | |
| Not Available |
| Full Name | Compass Dental Of Lincoln Square |
|---|---|
| Speciality | Dentist |
| Location | 2334 W Lawrence Ave Ste 215, Chicago, Illinois |
| Authorized Official Name and Position | Brandon R Prusa (OWNER) |
| Authorized Official Contact | 7735252011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Dental Of Lincoln Square 2334 W Lawrence Ave Ste 215 Chicago IL 60625-1036 Ph: () - | Compass Dental Of Lincoln Square 2334 W Lawrence Ave Ste 215 Chicago IL 60625-1036 Ph: (773) 561-5747 |
| NPI Number | 1144693748 |
|---|---|
| Provider Enumeration Date | 11/04/2015 |
| Last Update Date | 11/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144693748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019028511 (Illinois) | Primary |
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