Individual
DR. JOSEPH POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
641 W 63RD ST, CHICAGO, IL 60621-2032
(708) 431-4724
Mailing address
641 W 63RD ST, CHICAGO, IL 60621-2032
(708) 431-4724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031627
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019031627
—
IL
Enumeration date
06/09/2018
Last updated
06/02/2023
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