Organization
ST JOHN SMILES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABHISHEK NAGARAJ (CO-OWNER)
(219) 232-8956
Entity
Organization
Contact information
Practice address
9486 WICKER AVE, SAINT JOHN, IN 46373-9400
(219) 232-8956
Mailing address
13247 S BALTIMORE AVE, CHICAGO, IL 60633-1431
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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