Chicago Avenue Dental Group Ltd
Chicago Avenue Dental Group Ltd is a Dental Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1802 W Chicago AveChicago, IL 60622-5512
Phone: (773) 276-0633
Fax: (773) 276-0687
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 019016644 (IL) |
|---|
Record details
| NPI number | 1578708707 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lee Stansbury — President · (773) 276-0633 |
| NPI enumerated | December 2, 2008 |
| Last updated in NPPES | December 2, 2008 |
| Mailing address | 1802 W Chicago Ave, Chicago, IL 60622-5512 |
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