Organization
THE CHICAGO CENTER FOR COSMETIC AND IMPLANT DENTIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS FRANCIS JACKSON DDS (PRESIDENT)
(847) 842-6900
Entity
Organization
Contact information
Practice address
205 W MAIN STREET, BARRINGTON, IL 60010-3222
(847) 842-6900
(847) 842-6966
Mailing address
205 W MAIN STREET, BARRINGTON, IL 60010-3222
(847) 842-6900
(847) 842-6966
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
IL
Other
Enumeration date
11/22/2006
Last updated
07/10/2007
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