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

WICKER PARK DENTAL, LTD

Active Organization

WICKER PARK DENTAL, LTD is a Dentist organization located in CHICAGO, Illinois. NPI 1003962192 is currently active in the NPPES registry. Verify at CMS.

Dentist · CHICAGO, IL

Registration Details

NPI Number
1003962192
Provider Type
Organization
NPI Issued
Jan 25, 2007 (19.541863613061 yrs)
Last Updated
Feb 9, 2009
License
060010054 (IL)

Practice Information

Address
1738 W NORTH AVE
CHICAGO, IL, 60622
Browse IL providers · Browse ZIP 60622
Phone
7732765566
Fax
7732768780
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

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.