REGINALD ODOM

CHICAGO, IL
NPI1548329386
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019021471)
Enumeration Date2006-12-07
Last Update Date2016-02-29
Business Address
Dr. REGINALD ODOM dds
4109 W 47TH ST
CHICAGO, IL 60632-4101
Phone number: 773-847-6740
Mailing Address
Dr. REGINALD ODOM dds
570 E 115TH ST
CHICAGO, IL 60628-5740
Phone number: 773-768-5000
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