Individual
DONALD CHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1725 W NORTH AVE STE 102, CHICAGO, IL 60622-2106
(773) 227-1048
(773) 227-3218
Mailing address
1725 W NORTH AVE STE 102, CHICAGO, IL 60622-2106
(773) 227-1048
(773) 227-3218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002715
—
IL
Enumeration date
08/01/2006
Last updated
07/09/2007
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