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Organization
PRAIRE SHORES DENTAL
Active
Organization
PRAIRE SHORES DENTAL
Active
Other names
mercy dental center
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE WELCH (OFFICE COORDINATOR)
(312) 567-2299
Entity
Organization
Contact information
Practice address
2525 S MICHIGAN AVE, 8TH FL, CHICAGO, IL 60616-2333
(312) 567-2299
(312) 328-7954
Mailing address
2525 S MICHIGAN AVE, 8TH FL, CHICAGO, IL 60616-2333
(312) 567-2299
(312) 328-7954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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