Organization
NORTH SUBURBAN ORTHODONTICS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS WHITESMAN DDS, MS (OWNER/ORTHODONTIST)
(734) 709-1363
Entity
Organization
Contact information
Practice address
4710 W 95TH ST, UNIT B 10, OAK LAWN, IL 60453-2546
(709) 499-0900
Mailing address
1 W SUPERIOR ST, UNIT 2607, CHICAGO, IL 60654-8803
(734) 709-1363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026746
IL
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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