OrganizationActive
Premier Dentistry at Millennium Park LLC
NPI 1104541622 · Prosthodontics · Chicago, IL
Provider details
- NPI number
- 1104541622
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Nechama Brand, Partner(312) 726-1901
Specialties & taxonomies
Dental Providers
- Dentist122300000X
Dental Providers
Practice location
30 N Michigan Ave
Suite 1503
Chicago, IL 60602
Phone: (312) 726-1901
Fax: (312) 377-5053
Approximate (ZIP-level) locationGet directions
Mailing address
30 N Michigan Ave
Chicago, IL 60602
Registry dates
- Enumerated
- 2022-10-06
- Last updated
- 2022-10-06
- Certified
- 2022-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.