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General NPI Number Information
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NPI Number | 1750184800
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Entity Type | Organization
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Legal Business Name | METRO CHICAGO ENDODONTICS, PLLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 555 PLAINFIELD RD STE E
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City | WILLOWBROOK
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State | IL
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Zip | 60527-7619
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Country | US
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Telephone | 630-686-0623
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Fax |
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Provider Business Mailing Address
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Address Line | 917 S BRUNER ST
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City | HINSDALE
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State | IL
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Zip | 60521-4384
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Country | US
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Telephone | 847-477-0847
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GAIL TISCHKE
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Credential | DDS, MS
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Telephone | 630-686-0623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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