| Chicago Pediatric Dentistry And Orthodontics Pllc | |
|
799 Roosevelt Rd, Building 4, Ste 100 Glen Ellyn IL 60137-5908 | |
| (630) 756-5151 | |
| Not Available |
| Full Name | Chicago Pediatric Dentistry And Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 799 Roosevelt Rd, Building 4, Ste 100, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Justin Welke (OWNER) |
| Authorized Official Contact | 6308861780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Pediatric Dentistry And Orthodontics Pllc 799 Roosevelt Rd Building 4, Ste 100 Glen Ellyn IL 60137-5908 Ph: (630) 756-5151 | Chicago Pediatric Dentistry And Orthodontics Pllc 799 Roosevelt Rd, Building 4, Ste 100 Glen Ellyn IL 60137-5908 Ph: (630) 756-5151 |
| NPI Number | 1235056441 |
|---|---|
| Provider Enumeration Date | 06/30/2026 |
| Last Update Date | 06/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235056441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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