Organization · Type 2 NPI

Irving Park Periodontics, Ltd.

Periodontics · Chicago, IL

NPI number 1982976643 Active

Practice location

4949 W Irving Park Rd, Ste. D
Chicago, IL 60641-2655

Call (773) 794-1332 Map

Fax (773) 794-1032

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X021001422 (IL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1982976643

Irving Park Periodontics, Ltd.'s National Provider Identifier is 1982976643, issued on Jan 27, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Chicago, IL. The record was last updated on Jan 27, 2012.