| NPI | 1457870255 |
|---|---|
| Other Name | CHICAGO SMILE SPA |
| Entity Type | Organization |
| Authorized Contact | PHILIP M COOK Owner 773-348-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |