Organization · Type 2 NPI
Harlem Irving Family Dental, LLC
Dental Clinic/Center · Chicago, IL
NPI number
1104302439
Active
Practice location
7601 W Irving Park Rd Ste 102
Chicago, IL 60634-2140
Mailing address
1699 E Woodfield Rd
Schaumburg, IL 60173-4947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 19017598 (IL) |
Dental Clinic/Center: Definition to come...
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About NPI 1104302439
Harlem Irving Family Dental, LLC's National Provider Identifier is 1104302439, issued on Jul 19, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chicago, IL. The record was last updated on Jul 19, 2018.