Organization
FAMILY DENTAL CARE OF CHICAGO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHESH M PATEL DDS (OWNER)
(773) 489-2626
Entity
Organization
Contact information
Practice address
4355 W FULLERTON AVE, CHICAGO, IL 60639-2057
(773) 489-2626
Mailing address
3105 ROSEWOOD PL, DOWNERS GROVE, IL 60515-1286
(630) 964-4947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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