BOYS & GIRLS CLUB OF CHICAGO - ROBERT R. MCCORMICK BOYS & GIRLS CLUB NPI 1417134131

NPI Information

BOYS & GIRLS CLUB OF CHICAGO - ROBERT R. MCCORMICK BOYS & GIRLS CLUB is a pediatric dentistry dentist in Chicago, IL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. BOYS & GIRLS CLUB OF CHICAGO - ROBERT R. MCCORMICK BOYS & GIRLS CLUB NPI is 1417134131. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4835 N SHERIDAN RD
CHICAGO, IL
ZIP 60640-718
Phone: (773) 271-8400
Fax: (773) 271-2425

The provider's authorized official is George Colone .
The authorized official title is Club Director and has the following contact phone number (773) 271-8400.

The enumeration date for this NPI number is 1/24/2008 and was last updated on 1/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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