# LITTLE CHOMPERS PEDIATRIC DENTISTRY

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

## Provider details

- **NPI number:** 1417664020
- **Authorized official:** DR. MICHAEL P RABINOWITZ DDS (MANAGING MEMBER)
- **Authorized official phone:** (847) 962-6321

## Contact information

- **Practice address:** 5305 N CLARK ST, CHICAGO, IL 60640-2113
- **Practice address phone:** (312) 471-6430
- **Practice address fax:** (312) 471-6431
- **Mailing address:** 5305 N CLARK ST, CHICAGO, IL 60640-2113
- **Mailing address phone:** (312) 471-6430
- **Mailing address fax:** (312) 471-6431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2022
- **Last updated:** 11/02/2022