Organization
KEITH D. SCHULHOF, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH D SCHULHOF D.M.D. (OWNER)
(773) 609-1167
Entity
Organization
Contact information
Practice address
1209 W DIVERSEY PKWY, CHICAGO, IL 60614-1201
(773) 327-8550
Mailing address
1209 W DIVERSEY PKWY, CHICAGO, IL 60614-1201
(773) 327-8550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.027932
IL
Other
Enumeration date
10/04/2010
Last updated
12/08/2011
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