Ford, Angelique

Ford, Angelique is an individual health care provider with primary practice located at 533 E 33Rd Pl 607, Chicago IL 60616-4112. She recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice. Dental Providers / Endodontics is her primary health care specialty. Ford, Angelique can be contacted via phone (773) 544-5302.

Contact Information

Primary practice address
533 E 33Rd Pl 607 Chicago IL 60616-4112
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 021002281 Illinois
Dental Providers / General Practice 1223G0001X 019026718 Illinois

Profile Details

NPI number 1710136635
LBN Legal business name Ford, Angelique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2008
Last updated Sep 16th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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