Organization
CHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS PLLC
Active
Other names
Chicago Pediatric Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN WELKE DDS (OWNER)
(630) 886-1780
Entity
Organization
Contact information
Practice address
1136 S DELANO CT W STE B202, CHICAGO, IL 60605-3734
(312) 766-0995
Mailing address
1136 S DELANO CT W STE B202, CHICAGO, IL 60605-3734
(312) 437-0593
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
11/03/2020
Last updated
06/30/2026
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