Organization
NORTH SUBURBAN ORTHODONTICS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS WHITESMAN DDS, MS (ORTHODONTIST/OWNER)
(734) 709-1363
Entity
Organization
Contact information
Practice address
1859 S BLUE ISLAND AVE, CHICAGO, IL 60608-3012
(312) 666-5560
Mailing address
1 W SUPERIOR ST, UNIT 2607, CHICAGO, IL 60654-8803
(734) 709-1363
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019026746
IL
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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