# FULL SMILE CHICAGO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063223592
- **Authorized official:** JENNIFER WILLIAMS (CREDENTIALING)
- **Authorized official phone:** (806) 353-1055

## Contact information

- **Practice address:** 7441 SOUTHWEST HWY, WORTH, IL 60482-1005
- **Practice address phone:** (708) 448-0468
- **Mailing address:** 7441 SOUTHWEST HWY, WORTH, IL 60482-1005
- **Mailing address phone:** (708) 448-0468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2025
- **Last updated:** 01/15/2025