THERESA WESTFALLEN

CHICAGO, IL
NPI1003033770
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL  021001951)
Additional Taxonomies1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL  019024676)
Enumeration Date2007-04-20
Last Update Date2007-07-08
Business Address
-- THERESA WESTFALLEN
1738 W NORTH AVE
CHICAGO, IL 60622
Phone number: 773-276-5566
Mailing Address
-- THERESA WESTFALLEN
1738 W NORTH AVE
CHICAGO, IL 60622
Phone number: 773-276-5566