Organization
JD FELDMAN DDS, LW FELDMAN DDS & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE WM FELDMAN (PRESIDENT)
(773) 477-8585
Entity
Organization
Contact information
Practice address
3423 N BROADWAY ST, CHICAGO, IL 60657-2904
(773) 477-8585
(773) 549-0477
Mailing address
3423 N BROADWAY ST, CHICAGO, IL 60657-2904
(773) 477-8585
(773) 549-0477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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