CHICAGO AVENUE DENTAL GROUP LTD.

NPI # 

Practice Address:

1802 W Chicago Ave

Chicago, IL, 60622-5512

Practice Phone:

773-276-0633

Practice Fax:

773-276-0687

License Number:

019016644

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X