Laura Michelle Douglas, D.M.D.

NPI #1023496767 in Chicago, Illinois

Provider Information

NPI Number: 1023496767
Entity Type: Individual
Name: Laura Michelle Douglas, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: May 14, 2015
Last Updated: Nov 30, 2016

Practice Location

Address: 570 E 115TH ST
City: Chicago
State: Illinois
ZIP Code: 60628-5740
Phone: (773) 768-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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