Individual
DR. MARISSA LAUREN WADHWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1977 N MILWAUKEE AVE, CHICAGO, IL 60647-4338
(773) 840-5003
Mailing address
750 N HUDSON AVE UNIT 1211, CHICAGO, IL 60654-6702
(847) 219-1945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.036407
IL
Other
Enumeration date
08/26/2025
Last updated
09/26/2025
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