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845 N Michigan Ave Suite 922e Chicago IL 60611-2252 | |
| (312) 642-1014 | |
| (312) 642-2317 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 845 N Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Margaret Mitchell (DENTIST) |
| Authorized Official Contact | 3126421014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
845 N Michigan Ave Suite 922e Chicago IL 60611-2252 Ph: (312) 642-1014 | 845 N Michigan Ave Suite 922e Chicago IL 60611-2252 Ph: (312) 642-1014 |
| NPI Number | 1033280201 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033280201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019.021472 (Illinois) | Primary |
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