Organization
CHICAGO SMILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A SANTUCCI DDS (OWNER/MEMBER)
(312) 810-3200
Entity
Organization
Contact information
Practice address
227 W MONROE ST STE 205, CHICAGO, IL 60606-5017
(312) 346-0171
Mailing address
227 W MONROE ST STE 205, CHICAGO, IL 60606-5017
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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