Pro Dental Il - Chad Wise PC

NPI #1710714233 in Oak Park, Illinois

Provider Information

NPI Number: 1710714233
Entity Type: Organization
Organization Name: Pro Dental Il - Chad Wise PC
Primary Specialty: Dentist
Enumeration Date: Sep 18, 2024
Last Updated: Sep 18, 2024

Practice Location

Address: 1 CHICAGO AVE
City: Oak Park
State: Illinois
ZIP Code: 60302-2432
Phone: (708) 948-7744

Authorized Official

Name: MRS. SIMONE WILSON-ADELEKE, MPA-PPA
Title: DIRECTOR OF CREDENTIALING
Phone: (732) 731-8398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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