Organization
MANUS NORTHWESTERN ORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNE WYPYCH (BUSINESS MANAGER)
(312) 274-3333
Entity
Organization
Contact information
Practice address
676 N MICHIGAN AVE, #3500, CHICAGO, IL 60611-2883
(312) 274-3333
Mailing address
676 N MICHIGAN AVE, #3500, CHICAGO, IL 60611-2883
(312) 274-3333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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