Organization
CHICAGO DENTAL SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL BARRON (REVENUE CYCLE MANAGER)
(813) 580-0028
Entity
Organization
Contact information
Practice address
558 W WEBSTER AVE, CHICAGO, IL 60614-0900
(773) 820-9888
Mailing address
1222 W MADISON ST STE 300, CHICAGO, IL 60607-2091
(312) 988-0025
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
05/07/2026
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