North Suburban Orthodontics, Ltd

NPI #1215371505 in Oak Lawn, Illinois

Provider Information

NPI Number: 1215371505
Entity Type: Organization
Organization Name: North Suburban Orthodontics, Ltd
Primary Specialty: Dentist
Enumeration Date: Apr 17, 2013
Last Updated: Apr 17, 2013

Practice Location

Address: 4710 W 95TH ST
Address 2: UNIT B 10
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2546
Phone: (709) 499-0900

Authorized Official

Name: DR. LOUIS WHITESMAN, DDS, MS
Title: OWNER/ORTHODONTIST
Phone: (734) 709-1363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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