| Second City Orthodontics, P.C. | |
|
111 N Wabash Ave Ste 810 Chicago IL 60602-1912 | |
| (312) 551-0500 | |
| (312) 372-0165 |
| Full Name | Second City Orthodontics, P.C. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 111 N Wabash Ave Ste 810, Chicago, Illinois |
| Authorized Official Name and Position | Frank L Karkazis (SECRETARY) |
| Authorized Official Contact | 8473477874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second City Orthodontics, P.C. 1665 Duffy Ln Bannockburn IL 60015-1509 Ph: (847) 347-7874 | Second City Orthodontics, P.C. 111 N Wabash Ave Ste 810 Chicago IL 60602-1912 Ph: (312) 551-0500 |
| NPI Number | 1225711864 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 08/10/2023 |
| Certification Date | 08/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225711864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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