Organization
UNIVERSITY OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAVALDOR NARES DDS, MS, PHD (CHAIRMAN, DEPT. OF PERIODONTOLOGY)
(312) 413-4467
Entity
Organization
Contact information
Practice address
801 S PAULINA ST, 465B, CHICAGO, IL 60612-7210
(312) 355-4819
Mailing address
1201 S PRAIRIE AVE, 4901, CHICAGO, IL 60605-3325
(312) 522-8417
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
019.029769
IL
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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