CHICAGO AVENUE DENTAL GROUP LTD. is a dental clinic center in Chicago, IL. CHICAGO AVENUE DENTAL GROUP LTD. NPI is 1578708707. The provider is registered as an organization entity type.
The provider's business location address is:
1802 W CHICAGO AVE
CHICAGO, IL
ZIP 60622-512
Phone: (773) 276-0633
Fax: (773) 276-0687
The provider's authorized official is Lee Stansbury .
The authorized official title is President and has the following contact phone number (773) 276-0633.
The enumeration date for this NPI number is 12/2/2008 and was last updated on 12/2/2008.