Individual
DR. DEVIN CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1253 W 18TH ST, CHICAGO, IL 60608-3242
(773) 731-3300
Mailing address
1610 S LOOMIS ST APT 1, CHICAGO, IL 60608-2195
(630) 390-9002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035252
IL
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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