Pro Dental Il - Chad Wise Pc

LBN: Pro Dental Il - Chad Wise Pc
Pro Dental Il - Chad Wise Pc is an health care organization with primary practice located at 1 Chicago Ave , Oak Park IL 60302-2432. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is the primary health care specialty. Pro Dental Il - Chad Wise Pc can be contacted via phone (708) 948-7744, or through Wilson-Adeleke, Simone via phone (732) 731-8398.

Contact Information

Primary practice address
1 Chicago Ave Oak Park IL 60302-2432
Phone: (708) 948-7744
Fax: (708) 948-7846
Website:
Map and Directions
Authorized official contact:
Name: Wilson-Adeleke, Simone MPA-PPA
Phone: (732) 731-8398

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1710714233
LBN Legal business name Pro Dental Il - Chad Wise Pc
DBA Doing business as
Authorized official Wilson-Adeleke, Simone MPA-PPA
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2024
Last updated Sep 18th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers