| Northwest Dentistry | |
|
6676 N Northwest Hwy Suite 1 Chicago IL 60631-1306 | |
| (773) 631-6677 | |
| (773) 631-6679 |
| Full Name | Northwest Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6676 N Northwest Hwy, Chicago, Illinois |
| Authorized Official Name and Position | Thao Hoai Bui (OWNER) |
| Authorized Official Contact | 7736316677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Dentistry 6676 N Northwest Hwy Suite 1 Chicago IL 60631-1306 Ph: (773) 631-6677 | Northwest Dentistry 6676 N Northwest Hwy Suite 1 Chicago IL 60631-1306 Ph: (773) 631-6677 |
| NPI Number | 1245471291 |
|---|---|
| Provider Enumeration Date | 03/19/2009 |
| Last Update Date | 03/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245471291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026286 (Illinois) | Primary |
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