Unknown Individual – Orthodontics and Dentofacial Orthopedics Dentistry, NPI 1750370276
Orthodontics and Dentofacial Orthopedics Dentistry
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Edens Office Plaza, 4801, West Peterson Avenue, Sauganash, Forest Glen, Chicago, Jefferson Township, Cook County, Illinois, 60646, United States
CHICAGO, IL 606465713
Phone: (773) 539-3534
Fax: (773) 286-8440
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60646)
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