Organization
BOYS & GIRLS CLUB OF CHICAGO - ROBERT R. MCCORMICK BOYS & GIRLS CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE COLONE (CLUB DIRECTOR)
(773) 271-8400
Entity
Organization
Contact information
Practice address
4835 N SHERIDAN RD, CHICAGO, IL 60640-3718
(773) 271-8400
(773) 271-2425
Mailing address
4835 N SHERIDAN RD, CHICAGO, IL 60640-3718
(773) 271-8400
(773) 271-2425
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
IL
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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