Organization
ACDI CHICAGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZUZANA VITKOVA (CHIEF FINANCIAL OFFICER)
(630) 586-9483
Entity
Organization
Contact information
Practice address
625 N MICHIGAN AVE, SUITE #1710, CHICAGO, IL 60611-3110
(312) 440-9200
(312) 867-0865
Mailing address
625 N MICHIGAN AVE, SUITE #1710, CHICAGO, IL 60611-3110
(312) 440-9200
(312) 867-0865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.027884
IL
1223G0001X
General Practice Dentistry
019013583
IL
Other
Enumeration date
05/06/2008
Last updated
08/07/2009
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