Pro Dental Il - Chad Wise PC

NPI #1942037221 in Chicago, Illinois

Provider Information

NPI Number
1942037221
Entity Type
Organization
Organization Name
Pro Dental Il - Chad Wise PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 19, 2024
Last Updated
Sep 19, 2024

Practice Location

Address
2101 E 71ST ST STE C
ZIP Code
60649-2119
Phone
(773) 241-7000

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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