Individual
EDWARD C TOLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
536 E 87TH ST, CHICAGO, IL 60619-6045
(773) 651-0522
(773) 651-0839
Mailing address
536 E 87TH ST, CHICAGO, IL 60619-6045
(773) 651-0522
(773) 651-0839
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021497
IL
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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