Individual
DR. ISMAEL ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(313) 996-7555
Mailing address
2602 W WESTWOOD CT, CARPENTERSVILLE, IL 60110-3263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
018002160
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
09/28/2020
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