Individual
KAORI EMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
705 S CLARK ST, CHICAGO, IL 60605-1703
(312) 435-0411
Mailing address
705 S CLARK ST, CHICAGO, IL 60605-1703
(312) 435-0411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028664
IL
Other
Enumeration date
03/26/2011
Last updated
11/17/2022
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