Provider First Line Business Practice Location Address:
UIC PEDIATRIC DENTISTRY RESIDENCY RM 256D (MC 850)
Provider Second Line Business Practice Location Address:
801 S. PAULINA ST.
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-413-7714
Provider Business Practice Location Address Fax Number:
312-996-1981
Provider Enumeration Date:
04/30/2021