Individual
DR. PETER WALTER WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2409 W LAWRENCE AVE, CHICAGO, IL 60625-2911
(773) 284-1977
Mailing address
2409 W LAWRENCE AVE, CHICAGO, IL 60625-2911
(773) 284-1977
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034490
IL
Other
Enumeration date
05/30/2016
Last updated
07/07/2025
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