Individual
DR. IRSENIA COLLEEN NORFLEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10125 S WESTERN AVE, CHICAGO, IL 60643-1927
(773) 238-3500
(773) 238-8353
Mailing address
10125 S WESTERN AVE, CHICAGO, IL 60643-1927
(773) 238-3500
(773) 238-8353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025606
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005228
—
IL
Enumeration date
07/27/2006
Last updated
07/09/2007
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