Individual
KATHY BEDASEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S PAULINA ST # MC850, CHICAGO, IL 60612-7210
(312) 996-7532
Mailing address
801 S PAULINA ST # MC850, CHICAGO, IL 60612-7210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
018.002274
IL
1223G0001X
General Practice Dentistry
DN124048
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2024
Last updated
01/05/2026
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