| Growing Smiles, Pc | |
|
3701 N Southport Ave Chicago IL 60613-4360 | |
| (773) 472-4769 | |
| (773) 472-4777 |
| Full Name | Growing Smiles, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3701 N Southport Ave, Chicago, Illinois |
| Authorized Official Name and Position | Kristin M Elliot (OWNER / PEDIATRIC DENTIST) |
| Authorized Official Contact | 3123998749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Smiles, Pc 3701 N Southport Ave Chicago IL 60613-4360 Ph: (773) 472-4769 | Growing Smiles, Pc 3701 N Southport Ave Chicago IL 60613-4360 Ph: (773) 472-4769 |
| NPI Number | 1699598011 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699598011 | NPI | - | NPPES |
| 1053490383 | Other | IL | NPPES |
| 1053801209 | Other | IA | NPPES |
| 1578149514 | Other | IL | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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