SIRI CHANTHASALO

ELGIN, IL
NPI1134286057
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-025831)
Enumeration Date2007-01-02
Last Update Date2008-10-09
Business Address
Dr. SIRI CHANTHASALO D.D.S.
3091 W. ROUTE 20 #103
ELGIN, IL 60124
Phone number: 847-841-1555
Mailing Address
Dr. SIRI CHANTHASALO D.D.S.
452 WESTPORT DR
PINGREE GROVE, IL 60140-9172
Phone number: 847-217-7215