Individual
EMILIE DOSOUDIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
801 S PAULINA ST RM 1190, CHICAGO, IL 60612-7210
(312) 996-1052
(312) 996-5987
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019033271
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2021
Last updated
04/03/2025
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