Udelson, Jerry
Udelson, Jerry is an sole proprietor health care provider with primary practice located at 1125 Harlem Ave , Forest Park IL 60130-2337. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Udelson, Jerry can be contacted via phone (708) 386-5437.Contact Information
Primary practice address
1125 Harlem Ave
Forest Park IL 60130-2337
Phone: (708) 386-5437
Fax: (708) 771-5439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 021-001495 | Illinois |
Profile Details
| NPI number | 1013134154 |
|---|---|
| LBN Legal business name | Udelson, Jerry |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 17th, 2024 - about 2 months 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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