Individual
DR. CHALICE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5401 S WENTWORTH AVE, SUITE 200, CHICAGO, IL 60609-6300
(773) 548-8200
(773) 538-8683
Mailing address
5401 S WENTWORTH AVE, SUITE 200, CHICAGO, IL 60609-6300
(773) 548-8200
(773) 538-8683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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