Organization
WRIGLEYVILLE ORTHODONTICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NERITA STRACHAN (RECEPTIONIST)
(847) 770-8790
Entity
Organization
Contact information
Practice address
1353 W CORNELIA AVE, CHICAGO, IL 60657-1401
(847) 770-8790
Mailing address
1353 W CORNELIA AVE, CHICAGO, IL 60657-1401
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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