Organization
CHENG LI CHIN D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHENG LI CHIN D.D.S. (DENTIST)
(773) 772-4114
Entity
Organization
Contact information
Practice address
2021 N WESTERN AVE, CHICAGO, IL 60647-4103
(773) 772-4114
(773) 772-4114
Mailing address
2021 N WESTERN AVE, CHICAGO, IL 60647-4103
(773) 772-4114
(773) 772-4114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19015811
IL
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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