Individual
JESSICA CARON RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
4555 N RAVENSWOOD AVE STE 1A, CHICAGO, IL 60640-5201
(312) 766-9395
Mailing address
4555 N RAVENSWOOD AVE STE 1A, CHICAGO, IL 60640-5201
(312) 766-9395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029631
IL
Other
Enumeration date
10/11/2013
Last updated
05/07/2021
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