Individual
JEEL DAFTARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDSS
Contact information
Practice address
2604 W NORTH AVE, CHICAGO, IL 60647-5235
(773) 252-0033
Mailing address
765 W ADAMS ST APT 2813, CHICAGO, IL 60661-3517
(862) 485-1270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.037253
IL
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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