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Organization
ORA STUDIOS
Active
Organization
ORA STUDIOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNA DJUKIC (BUSINESS MANAGER)
(219) 384-4031
Entity
Organization
Contact information
Practice address
1827 S MICHIGAN AVE, CHICAGO, IL 60616-1601
(312) 328-9000
(312) 328-9009
Mailing address
1827 S MICHIGAN AVE, CHICAGO, IL 60616-1601
(312) 328-9000
(312) 328-9009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024315
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
021002047
IL
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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