Individual
DR. CHRISTINA BOSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2750 W NORTH AVE, DENTAL-2ND FLOOR, CHICAGO, IL 60647-5247
(312) 432-4550
Mailing address
2750 W NORTH AVE, DENTAL-2ND FLOOR, CHICAGO, IL 60647-5247
(312) 432-4550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.027523
IL
1223G0001X
General Practice Dentistry
Primary
019127523
IL
Other
Enumeration date
04/02/2008
Last updated
08/10/2021
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