| Your Lifesmiles | |
|
980 N Michigan Ave Suite 1520 Chicago IL 60611-4501 | |
| (312) 944-5200 | |
| (312) 944-0154 |
| Full Name | Your Lifesmiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 980 N Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Peter T Harnois (PRESIDENT) |
| Authorized Official Contact | 3129445200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Lifesmiles 980 N Michigan Ave Suite 1520 Chicago IL 60611-4501 Ph: (312) 944-5200 | Your Lifesmiles 980 N Michigan Ave Suite 1520 Chicago IL 60611-4501 Ph: (312) 944-5200 |
| NPI Number | 1841521713 |
|---|---|
| Provider Enumeration Date | 01/16/2010 |
| Last Update Date | 01/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841521713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019018263 (Illinois) | Primary |
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