Organization · Type 2 NPI

Ico Dental, LLC

Dental Clinic/Center · Chicago, IL

NPI number 1144958067 Active

Practice location

4200 W Peterson Ave Ste 136
Chicago, IL 60646-6052

Call (773) 286-5286 Map

Mailing address

343 W Wolf Point Plz Unit 1404
Chicago, IL 60654-0103

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1144958067

Ico Dental, LLC's National Provider Identifier is 1144958067, issued on Aug 9, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chicago, IL. The record was last updated on Aug 9, 2022.