| Millennium Dental Specialist | |
|
1624 W Division St Ste B Chicago IL 60622-3908 | |
| (773) 227-9000 | |
| (773) 227-9009 |
| Full Name | Millennium Dental Specialist |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1624 W Division St Ste B, Chicago, Illinois |
| Authorized Official Name and Position | Christine M Gadia (OWNER/ DENTIST) |
| Authorized Official Contact | 3125880112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millennium Dental Specialist 1624 W Division St Ste B Chicago IL 60622-3908 Ph: (773) 227-9000 | Millennium Dental Specialist 1624 W Division St Ste B Chicago IL 60622-3908 Ph: (773) 227-9000 |
| NPI Number | 1942793815 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 06/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942793815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 019026871 (Illinois) | Secondary |
| 1223P0300X | Dentist - Periodontics | 019025900 (Illinois) | Primary |
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