Search › Illinois › 1223G0001X
Reginald Odom, DDS
NPI 1548329386 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4109 W 47th St
Chicago, IL 60632 - Phone
- (773) 847-6740
- Fax
- (773) 874-6745
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-29
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