ENRICO MEDINA

CHICAGO, IL
NPI1720184559
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2006-09-16
Last Update Date2007-07-08
Business Address
DR. ENRICO MEDINA DDS
10142 S WESTERN AVE
CHICAGO, IL 60643-1928
Phone number: 773-233-3535
Mailing Address
DR. ENRICO MEDINA DDS
2320 SIMSBURY CT
NAPERVILLE, IL 60564-9559
Phone number: 630-904-4030