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Organization
SE CHICAGO DENTISTRY
Active
Organization
SE CHICAGO DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASRIN AZIMZADEH DMD (DR./OWNER)
(312) 587-0200
Entity
Organization
Contact information
Practice address
233 E ERIE ST STE 406, CHICAGO, IL 60611-5955
(312) 587-0200
Mailing address
233 E ERIE ST STE 406, CHICAGO, IL 60611-5955
(312) 587-0200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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