| Jared Woolf DDS PC | |
|
4733 N Kedzie Ave Chicago IL 60625-4420 | |
| (773) 250-3768 | |
| Not Available |
| Full Name | Jared Woolf DDS PC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4733 N Kedzie Ave, Chicago, Illinois |
| Authorized Official Name and Position | Jared Woolf (OWNER) |
| Authorized Official Contact | 9493052253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Woolf DDS PC 85 Argonaut Ste 220 Aliso Viejo CA 92656-4105 Ph: (949) 305-2253 | Jared Woolf DDS PC 4733 N Kedzie Ave Chicago IL 60625-4420 Ph: (773) 250-3768 |
| NPI Number | 1083303853 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083303853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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