Organization
HEADACHE CENTER OF CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WILLIAM BRZOSTOWSKI DDS (PRESIDENT)
(630) 852-6666
Entity
Organization
Contact information
Practice address
6317 FAIRVIEW AVE, STE 3, WESTMONT, IL 60559-2887
(630) 852-6666
(630) 968-0958
Mailing address
6317 FAIRVIEW AVE, STE 3, WESTMONT, IL 60559-2887
(630) 852-6666
(630) 968-0958
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021165
IL
122300000X
Dentist
019025308
WI
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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