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Individual

ANDREA NICHOLE SIDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3435 W IRVING PARK RD, CHICAGO, IL 60618-3217
(773) 588-8200
Mailing address
3435 W IRVING PARK RD, CHICAGO, IL 60618-3217

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029657
IL
122300000X
Dentist
2009013187
MO

Other

Enumeration date
10/09/2009
Last updated
11/06/2019
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