EGDCLTD

CHICAGO, IL
NPI1649717752
Entity TypeOrganization
Authorized ContactKENNETH KADZIELA
Dentist
312-885-0562
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019020204)
Enumeration Date2017-01-26
Last Update Date2017-01-26
Business Address
EGDCLTD
2451 W 79TH ST
CHICAGO, IL 60652-1734
Phone number: 312-885-0562
Mailing Address
EGDCLTD
2451 W 79TH ST
CHICAGO, IL 60652-1734
Phone number: