Organization
THE ORTHO SUITE LLC
Active
Organization
THE ORTHO SUITE LLC
Active
Other names
Chicago Smile Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY PETER ELTINK D.M.D, M.S (ORTHODONTIST)
(773) 772-2545
Entity
Organization
Contact information
Practice address
3021 W ARMITAGE AVE, CHICAGO, IL 60647-6569
(773) 772-2545
(773) 772-2555
Mailing address
3033 W ARMITAGE AVE, CHICAGO, IL 60647-3816
(773) 772-2545
(773) 772-2555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019-026027
IL
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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