Randi Elyn Smulson, 019027653
Randi Elyn Smulson, 019027653 is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
1725 W North Ave Ste 102Chicago, IL 60622-2188
Phone: (773) 227-1048
Fax: (773) 227-3218
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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 019027653 (IL) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 019027653 (IL) |
Record details
| NPI number | 1780834580 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | 019027653 |
| Sole proprietor | No |
| NPI enumerated | September 29, 2008 |
| Last updated in NPPES | February 2, 2009 |
| Mailing address | 1725 W North Ave, Suite 102, Chicago, IL 60622-2188 |
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