Individual
ANGELA Y SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5745 W BELMONT AVE, CHICAGO, IL 60634-5211
(773) 622-2642
Mailing address
1021 RIDGEVIEW DR, INVERNESS, IL 60010-5339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031230
IL
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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