DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PORTAGE PARK DENTAL ASSOCIATES, LTD

Active Organization

PORTAGE PARK DENTAL ASSOCIATES, LTD is a Dentist organization located in CHICAGO, Illinois. NPI 1003124371 is currently active in the NPPES registry. Verify at CMS.

Dentist · CHICAGO, IL

Registration Details

NPI Number
1003124371
Provider Type
Organization
NPI Issued
Sep 20, 2010 (15.898406625801 yrs)
Last Updated
Sep 20, 2010
License
019026570 (IL)

Practice Information

Address
5613 W IRVING PARK RD
CHICAGO, IL, 606342740
Browse IL providers · Browse ZIP 60634
Phone
7732864030
Fax
7737360716
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in CHICAGO, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.