Organization
ORTHODONTIC EXPERTS
Active
Parent organization
ORTHODONTIC EXPERTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHODONTIC EXPERTS
Authorized official
DR. YAROSLAV R YARMOLYUK DDS , MS (ORTHODONTIST)
(773) 801-7174
Entity
Organization
Contact information
Practice address
1719 W 18TH ST, CHICAGO, IL 60608-4833
(773) 801-7174
(773) 830-7104
Mailing address
4709 N HARLEM AVE, HARWOOD HEIGHTS, IL 60706-4606
(773) 801-7174
(773) 830-7104
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021002488
IL
Other
Enumeration date
08/25/2015
Last updated
01/21/2020
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