| NPI | 1477875664 |
|---|---|
| Doing Business As | CHICAGO AVENUE DENTAL GROUP LTD |
| Entity Type | Organization |
| Authorized Contact | ORLEANYS DEL CARMEN President 773-276-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019027351) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |