# KIDS PLUS PEDIATRIC DENTISTRY, P.C.

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

## Provider details

- **NPI number:** 1598814154
- **Authorized official:** MRS. MELISSA J HEALY (OFFICE MANAGER)
- **Authorized official phone:** (773) 772-7373

## Contact information

- **Practice address:** 2222 W DIVISION ST, SUITE 130, CHICAGO, IL 60622-2717
- **Practice address phone:** (773) 772-7373
- **Practice address fax:** (773) 772-5667
- **Mailing address:** 2222 W DIVISION ST, SUITE 130, CHICAGO, IL 60622-2717
- **Mailing address phone:** (773) 772-7373
- **Mailing address fax:** (773) 772-5667

## Taxonomy

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

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 08/22/2020