Individual
DR. LAUREN EMILY KOCH MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2896 N MILWAUKEE AVE, CHICAGO, IL 60618-7413
(773) 295-6439
(773) 295-6690
Mailing address
2450 N AVERS AVE, CHICAGO, IL 60647-2224
(517) 673-1967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029947
IL
Other
Enumeration date
06/09/2014
Last updated
06/09/2025
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