Organization
J.H. CHEUNG, D.D.S., P.C.
Active
Other names
Shanahan & Cheung D.D.S., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CHEUNG DDS (PRESIDENT)
(630) 375-8380
Entity
Organization
Contact information
Practice address
3941 75TH ST, SUITE 103, AURORA, IL 60504-7913
(630) 375-8380
Mailing address
3941 75TH ST, SUITE 103, AURORA, IL 60504-7913
(630) 375-8380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019019174
IL
122300000X
Dentist
Primary
019026808
IL
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019026808
IL DENTAL LICENSE
IL
Enumeration date
06/18/2007
Last updated
04/20/2020
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