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Organization
NORTH AVE. DENTAL PARTNERS P.C.
Active
Organization
NORTH AVE. DENTAL PARTNERS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VESNA S SUTTER DDS (PRESIDENT/DENTIST)
(224) 517-3474
Entity
Organization
Contact information
Practice address
7020 W NORTH AVE, CHICAGO, IL 60707-4306
(773) 745-8300
(773) 745-8385
Mailing address
26 WYCHWOOD LN, SOUTH BARRINGTON, IL 60010-6122
(224) 517-3474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019017117
IL
1223G0001X
General Practice Dentistry
019029595
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477744043
INDIVIDUAL NPI
IL
Enumeration date
07/20/2016
Last updated
02/04/2019
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