Individual
ANTON ZHADOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
233 E ERIE ST, APT 2005, CHICAGO, IL 60611-2926
(847) 687-1158
Mailing address
233 E ERIE ST, APT 2005, CHICAGO, IL 60611-2926
(847) 687-1158
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029511
IL
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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