Organization
DHO GREAT LAKES, INC.
Active
Other names
Dental Health Onsite
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP C MURPHY (PRESIDENT)
(773) 929-8888
Entity
Organization
Contact information
Practice address
528 W BARRY AVE, CHICAGO, IL 60657-5417
(773) 929-8888
(773) 439-2300
Mailing address
528 W BARRY AVE, CHICAGO, IL 60657-5417
(773) 929-8888
(773) 439-2300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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