Organization
GROWING SMILES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN M ELLIOT DDS (OWNER / PEDIATRIC DENTIST)
(312) 399-8749
Entity
Organization
Contact information
Practice address
3701 N SOUTHPORT AVE, CHICAGO, IL 60613-4360
(773) 472-4769
(773) 472-4777
Mailing address
3701 N SOUTHPORT AVE, CHICAGO, IL 60613-4360
(773) 472-4769
(773) 472-4777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053490383
NPPES
IL
01
—
1053801209
NPPES
IA
01
—
1578149514
NPPES
IL
Enumeration date
11/04/2024
Last updated
11/04/2024
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