Organization
WINDY CITY ORTHODONTICS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN PAKRAVAN DDS, MS (OWNER)
(773) 697-8038
Entity
Organization
Contact information
Practice address
2921 N LINCOLN AVE, GROUND FLOOR, CHICAGO, IL 60657-8618
(773) 697-8038
(773) 435-6343
Mailing address
2921 N LINCOLN AVE, GROUND FLOOR, CHICAGO, IL 60657-8618
(773) 697-8038
(773) 435-6343
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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