Organization
DENTAL PROFESSIONALS OF OLD ORCHARD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SCHWARTZ (OWNER)
(847) 519-2873
Entity
Organization
Contact information
Practice address
111 E WACKER DR STE 23, CHICAGO, IL 60601-3713
(312) 938-3999
Mailing address
111 E WACKER DR STE 23, CHICAGO, IL 60601-3713
(312) 938-3999
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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