OrganizationActive
105 W Madison Dental PC
NPI 1730674227 · Dentist · Chicago, IL
Provider details
- NPI number
- 1730674227
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Timothy Skidmore, Practice Administrator(630) 816-9064
Specialties & taxonomies
Dental Providers
Practice location
105 W Madison St Ste 300
Chicago, IL 60602-4602
Phone: (561) 899-4595
Approximate (ZIP-level) locationGet directions
Mailing address
600 Fairway Dr Ste 206
Deerfield Beach, FL 33441-1807
Registry dates
- Enumerated
- 2018-06-27
- Last updated
- 2018-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.