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1755 W North Ave Suite 101 Chicago IL 60622-5450 | |
| (224) 577-9062 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1755 W North Ave, Chicago, Illinois |
| Authorized Official Name and Position | Monica N Urda (DENTIST/OWNER) |
| Authorized Official Contact | 2245779062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3520 N Lake Shore Dr Unit 6g Chicago IL 60657-1860 Ph: (224) 577-9062 | 1755 W North Ave Suite 101 Chicago IL 60622-5450 Ph: (224) 577-9062 |
| NPI Number | 1093188930 |
|---|---|
| Provider Enumeration Date | 10/31/2015 |
| Last Update Date | 10/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093188930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 319018676 (Illinois) | Primary |
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