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Organization

CHICAGO STYLE SMILES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN DOW DDS (PARTNER)
(312) 372-4845
Entity
Organization

Contact information

Practice address
30 N MICHIGAN AVE STE 1506, CHICAGO, IL 60602-3689
(312) 372-4845
Mailing address
30 N MICHIGAN AVE STE 1506, CHICAGO, IL 60602-3689
(312) 372-4845

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028750
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013205103
KEVIN D DOW
IL
01
1548472285
JAMES D ROHAN
IL
Enumeration date
11/15/2017
Last updated
11/15/2017
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