Organization
JENNIFER PHI,DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PHI DDS (PRESIDENT)
(773) 275-1280
Entity
Organization
Contact information
Practice address
4945 N BROADWAY ST, CHICAGO, IL 60640-3001
(773) 275-1280
(773) 275-1267
Mailing address
4945 N BROADWAY ST, CHICAGO, IL 60640-3001
(773) 275-1280
(773) 275-1267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019022077
IL
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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