Brickyard Orthodontics
Brickyard Orthodontics is an Orthodontics and Dentofacial Orthopedics Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
6018 W Diversey AveChicago, IL 60639-1108
Phone: (773) 836-7846
Fax: (773) 622-6191
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X (IL) |
|---|
Record details
| NPI number | 1821261397 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ernest Panos — President · (773) 836-7846 |
| NPI enumerated | April 7, 2008 |
| Last updated in NPPES | April 7, 2008 |
| Mailing address | 6018 W Diversey Ave, Chicago, IL 60639-1108 |
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