Most Relevant Information
Provider Data
| NPI Number: | 1003033770 |
| Provider Name: | THERESA WESTFALLEN |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/20/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1738 W NORTH AVE
CHICAGO
IL
60622
Practice Location Phone/Fax
| Phone: | 7732765566 |
| Fax: | 7732768780 |
Provider Mailing Location
1738 W NORTH AVE
CHICAGO
IL
60622
Provider Mailing Phone/Fax
| Phone: | 7732765566 |
| Fax: | 7732768780 |