Individual
DR. SEAN MICHAEL O'GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6560 W FULLERTON AVE, UNIT C106 SUITE T, CHICAGO, IL 60707-3439
(312) 274-0308
Mailing address
343 S DEARBORN ST, APT 1104, CHICAGO, IL 60604-4000
(617) 997-2160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029178
IL
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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