Lincoln Park Oral & Cosmetic Surgery

NPI 1225258957 - Dentist - 1223S0112X

NPI Details
NPI 1225258957
Enumeration Date 04/26/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARVIN MARVIN
Position PRESIDENT
Phone (773) 327-2400
Fax (773) 327-4759
Practice Location
2449 N LINCOLN AVE
CHICAGO IL, 60614-2414, US
Phone (773) 327-2400
Fax (773) 327-4759
Business Location
2449 N LINCOLN AVE
CHICAGO IL, 60614-2414, US
Phone (773) 327-2400
Fax (773) 327-4759
Toxanomy
Taxonomy Code 1223S0112X
License State Illinois
License Number =========
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According to our database, Lincoln Park Oral & Cosmetic Surgery NPI is 1225258957, taxonomy code is 1223S0112X and license number is =========, license state is located at Illinois. Lincoln Park Oral & Cosmetic Surgery physically located at 2449 N Lincoln Ave, Chicago IL, 60614-2414. NPI Number 1033115704 has the healthcare provider type.

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1225258957 NPI number is provided on an as is basis without warranty of any kind. 1225258957 is maintained by the National Plan & Provider Enumeration System. The contents of Lincoln Park Oral & Cosmetic Surgery are for informational purposes only.