Individual
DR. AKHIL VENKATESH JAGADEESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2674 N HALSTED ST, CHICAGO, IL 60614-2361
(773) 348-3384
(773) 348-5564
Mailing address
2674 N HALSTED ST, CHICAGO, IL 60614-2361
(773) 348-3384
(773) 348-5564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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