Edp of Wisconsin, SC
Edp of Wisconsin, SC is a Dental Clinic/Center in Chicago, Illinois. Works from 2 locations. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
141 W Jackson BlvdChicago, IL 60604-2992
Phone: (312) 937-3619
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 655 Deerwood Ave, Neenah, WI 54956-1629 — (312) 800-1270
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1962961672 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Edp of Wisconsin, SC |
| Authorized official | Roseanne Brunenkant — Director Of Integrations · (312) 937-3619 |
| Other names | Elite Dental Partners; Parkside West Dental |
| NPI enumerated | March 13, 2019 |
| Last updated in NPPES | September 16, 2019 |
| Mailing address | 141 W Jackson Blvd Ste 210, Chicago, IL 60604-3048 |
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