Organization
ERNEST JERCINOVIC D.D.S.
Active
Other names
HALSTED STREET DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST JERCINOVIC (PRESIDENT)
(773) 935-4444
Entity
Organization
Contact information
Practice address
2200 N HALSTED ST, 2ND FLOOR, CHICAGO, IL 60614-3625
(773) 935-4444
(773) 935-4455
Mailing address
2200 N HALSTED ST, 2ND FLOOR, CHICAGO, IL 60614-3625
(773) 935-4444
(773) 935-4455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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