UNIVERSITY OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY NPI 1952781916

NPI Information

UNIVERSITY OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY 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. UNIVERSITY OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY NPI is 1952781916. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

801 S PAULINA ST
465B
CHICAGO, IL
ZIP 60612-210
Phone: (312) 355-4819

The provider's authorized official is Savaldor Nares .
The authorized official title is Chairman, Dept. Of Periodontology and has the following contact phone number (312) 413-4467.

The enumeration date for this NPI number is 6/4/2015 and was last updated on 6/4/2015.

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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