Sprout Pediatric Dentistry
Sprout Pediatric Dentistry is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
6036 N Northwest HwyChicago, IL 60631
Phone: (773) 377-5658
Fax: (773) 409-4663
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 021002373 (IL) |
|---|
Record details
| NPI number | 1538512884 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Johnny Kuttab — Dentist · (773) 377-5658 |
| NPI enumerated | July 21, 2016 |
| Last updated in NPPES | July 21, 2016 |
| Mailing address | 6036 N. Northwest Higway, Chicago, IL 60631 |
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