Organization
DR. KAREN FIELDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN D FIELDS DDS (DENTIST)
(313) 647-1830
Entity
Organization
Contact information
Practice address
7610 ROOSEVELT RD, FOREST PARK, IL 60130-2295
(313) 647-1830
Mailing address
4201 N MOBILE AVE, CHICAGO, IL 60634-1549
(313) 647-1830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.027779
IL
Other
Enumeration date
12/22/2012
Last updated
12/22/2012
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