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Organization

CHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS PLLC

Active
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Organization

CHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS PLLC

Active
Other names
Chicago Pediatric Dentistry and Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUSTIN WELKE DDS (OWNER)
(630) 886-1780
Entity
Organization

Contact information

Practice address
1136 S DELANO CT W STE B202, CHICAGO, IL 60605-3734
(312) 766-0995
Mailing address
1136 S DELANO CT W STE B202, CHICAGO, IL 60605-3734
(312) 437-0593

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
NULL

Other

Enumeration date
11/03/2020
Last updated
06/30/2026
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