Individual provider · Type 1 NPI

Stephanie Bollow

Pediatric Dentistry · Chicago, IL

NPI number 1639799901 Active

Practice location

801 S Paulina St
Chicago, IL 60612-7210

Call (312) 996-7532 Map

Mailing address

801 S Paulina St Rm 256D
Chicago, IL 60612-7210

Other practice locations

  • 1740 W Taylor St, Chicago, IL 60612-7232 · (866) 600-2273

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221X021.003194 (IL)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1639799901

Stephanie Bollow's National Provider Identifier is 1639799901, issued on Apr 16, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Chicago, IL. The record was last updated on Jan 20, 2023.