Individual
DR. LYNN KANTZAVELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
30 N MICHIGAN AVE, SUITE 1118, CHICAGO, IL 60602-3402
(312) 704-1400
Mailing address
30 N MICHIGAN AVE, SUITE 1118, CHICAGO, IL 60602-3402
(312) 704-1400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-021749
IL
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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