PERIODONTICS LTD. is a periodontics dentist in Chicago, IL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIODONTICS LTD. NPI is 1336219856. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
111 N WABASH AVE STE 919
CHICAGO, IL
ZIP 60602-932
Phone: (312) 641-2572
Fax: (312) 641-6621
The provider's authorized official is Stephen P Russo .
The authorized official title is Periodontist and has the following contact phone number (312) 641-2572.
The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/22/2020.