Organization
JAIME R MARQUEZ D.D.S. P.A.
Active
Other names
St. Jude Thaddeous Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME RICK MARQUEZ D.D.S. (PRESIDENTE)
(773) 677-3797
Entity
Organization
Contact information
Practice address
5227 W BELMONT AVE, CHICAGO, IL 60641-4210
(773) 677-3797
Mailing address
5227 W BELMONT AVE, CHICAGO, IL 60641-4210
(773) 677-3797
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030099
IL
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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