Individual
DR. PREETI A SHIVAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2240 S CICERO AVE, CICERO, IL 60804-2411
(708) 656-2222
Mailing address
430 W ERIE ST, SUITE 200, CHICAGO, IL 60654-6914
(312) 274-0308
(312) 944-9499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028058
IL
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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