Ravenswood Dental Group
Ravenswood Dental Group is a Dentist 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
5015 N Paulina St Ste 330Chicago, IL 60640-2756
Phone: (773) 334-3555
Fax: (773) 334-5771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019019228 (IL) |
|---|
Record details
| NPI number | 1528216538 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Henry Lotsof — President · (773) 334-3555 |
| NPI enumerated | September 3, 2008 |
| Last updated in NPPES | September 3, 2008 |
| Mailing address | 5015 N Paulina St, Suite 330, Chicago, IL 60640-2756 |
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