Organization
CHICAGO FAMILY DENTAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY GEORGE WEGMANN (PRESIDENT)
(312) 551-0500
Entity
Organization
Contact information
Practice address
55 E WASHINGTON ST STE 2141, CHICAGO, IL 60602-2294
(312) 551-0500
(312) 372-0165
Mailing address
55 E WASHINGTON ST STE 2141, CHICAGO, IL 60602-2294
(312) 551-0500
(312) 372-0165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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