Individual
ALISON QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
875 N MILWAUKEE AVE, CHICAGO, IL 60642-4188
(312) 455-9800
Mailing address
211 E OHIO ST, APT. 719, CHICAGO, IL 60611-3262
(916) 233-7642
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.030674
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002763
IL
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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