Organization
ALTA PILSEN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS WORTH DDS (MANAGING MEMBER / OWNER)
(218) 329-2753
Entity
Organization
Contact information
Practice address
1044 W 18TH ST, CHICAGO, IL 60608-4889
(773) 920-2582
Mailing address
565 W QUINCY ST UNIT 1506, CHICAGO, IL 60661-2911
(218) 329-2753
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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