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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