ILLINOIS DENTAL PROVIDERS (CHICAGO LOOP), LTD

CHICAGO, IL
NPI1053382242
Doing Business AsDENTALWORKS OF CHICAGO LOOP
Entity TypeOrganization
Authorized ContactRACHEL NITTINGER
Manager Credentialing
972-755-0816
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
Additional Taxonomies122300000X Dentist
1223E0200X Dentist, Endodontics
1223P0221X Dentist, Pediatric Dentistry
1223P0300X Dentist, Periodontics
1223P0700X Dentist, Prosthodontics
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Enumeration Date2006-01-27
Last Update Date2018-03-20
Business Address
ILLINOIS DENTAL PROVIDERS (CHICAGO LOOP), LTD
130 S FRANKLIN ST
CHICAGO, IL 60606-4606
Phone number: 312-201-1610
Mailing Address
ILLINOIS DENTAL PROVIDERS (CHICAGO LOOP), LTD
7160 DALLAS PKWY STE 400
PLANO, TX 75024-7111
Phone number: