| Portage Park Dental Associates, Ltd | |
|
5613 W Irving Park Rd Chicago IL 60634-2740 | |
| (773) 286-4030 | |
| (773) 736-0716 |
| Full Name | Portage Park Dental Associates, Ltd |
|---|---|
| Speciality | Dentist |
| Location | 5613 W Irving Park Rd, Chicago, Illinois |
| Authorized Official Name and Position | Aneta Choma-dlouchy (PRESIDENT) |
| Authorized Official Contact | 7732864030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portage Park Dental Associates, Ltd 5613 W Irving Park Rd Chicago IL 60634-2740 Ph: (773) 286-4030 | Portage Park Dental Associates, Ltd 5613 W Irving Park Rd Chicago IL 60634-2740 Ph: (773) 286-4030 |
| NPI Number | 1003124371 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 09/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003124371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026570 (Illinois) | Primary |
News Archive
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