Individual
DR. JAIME B. CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2419 N CLARK ST, CHICAGO, IL 60614-2717
(773) 248-8836
(773) 248-8873
Mailing address
2419 N CLARK ST, CHICAGO, IL 60614-2717
(773) 248-8836
(773) 248-8873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
07/17/2007
Last updated
08/10/2007
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