Organization
FULL SMILE CHICAGO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WILLIAMS (CREDENTIALING)
(806) 353-1055
Entity
Organization
Contact information
Practice address
7441 SOUTHWEST HWY, WORTH, IL 60482-1005
(708) 448-0468
Mailing address
7441 SOUTHWEST HWY, WORTH, IL 60482-1005
(708) 448-0468
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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