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Theresa Westfallen

NPI 1003033770 · on the registry since 2007

Practice

Address
1738 W North Ave
Chicago, IL 60622
Phone
(773) 276-5566
Fax
(773) 276-8780
Organisation at this address
Wicker Park Dental Llc
Wicker Park Dental, Ltd
Krishna M Gopisetty D.D.S., M.S., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Also registered as
1223X0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois