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Organization
STEWART G WILLOUGHBY DDS PC
Active
Organization
STEWART G WILLOUGHBY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEWART GORDON WILLOUGHBY DDS LDS RCS MS (PRESIDENT)
(773) 375-6199
Entity
Organization
Contact information
Practice address
8301 S BRANDON AVE, CHICAGO, IL 60617-2656
(773) 375-6199
Mailing address
8301 S BRANDON AVE, CHICAGO, IL 60617-2656
(773) 375-6199
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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