Individual
KAREN DAVIDA FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
430 W ERIE ST, SUITE 200, CHICAGO, IL 60654-6914
(920) 838-1649
Mailing address
430 W ERIE ST, SUITE 200, CHICAGO, IL 60654-6914
(920) 838-1649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027779
IL
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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