Organization
DR CARL L CHEEKS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL L CHEEKS (DR)
(847) 869-9708
Entity
Organization
Contact information
Practice address
1626 DARROW AVE, EVANSTON, IL 60201-3418
(847) 869-9708
(847) 869-9715
Mailing address
1626 DARROW AVE, EVANSTON, IL 60201-3418
(847) 869-9708
(847) 869-9715
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019012837
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12837
—
IL
Enumeration date
01/10/2013
Last updated
01/30/2014
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