Individual
CHARLES F LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4748 N MILWAUKEE AVE, STE 1, CHICAGO, IL 60630-3629
(773) 685-9339
(773) 685-6202
Mailing address
4748 N MILWAUKEE AVE, STE 1, CHICAGO, IL 60630-3629
(773) 685-9339
(773) 685-6202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19014618
IL
Other
Enumeration date
04/23/2007
Last updated
03/24/2022
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