Park West Family Dentistry
Park West Family Dentistry is a General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
830 W Diversey Pkwy 2nd FlChicago, IL 60614-1454
Phone: (773) 880-6054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019.027922 (IL) |
|---|
Record details
| NPI number | 1801190582 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Fariha Siddiqui Imam — Dentist/Owner · (773) 880-6054 |
| Other names | Harmony Family Dental |
| NPI enumerated | January 10, 2011 |
| Last updated in NPPES | January 3, 2012 |
| Mailing address | 830 W Diversey Pkwy, 2nd Floor, Chicago, IL 60614-1454 |
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