Individual
THERESA WESTFALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1738 W NORTH AVE, CHICAGO, IL 60622
(773) 276-5566
(773) 276-8780
Mailing address
1738 W NORTH AVE, CHICAGO, IL 60622
(773) 276-5566
(773) 276-8780
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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