Individual
DR. CLEO STEPHANIDES CHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1100 LAKE ST STE 140, OAK PARK, IL 60301-6712
(708) 383-1234
Mailing address
1100 LAKE ST STE 140, OAK PARK, IL 60301-6712
(708) 383-1234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033150
IL
1223G0001X
General Practice Dentistry
10743908-9922
UT
Other
Enumeration date
11/06/2017
Last updated
08/27/2021
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