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Search › Illinois › Oral and Maxillofacial Surgery (Dentist)

Jason Primavera, D.D.S

NPI 1831487370 · on the registry since 2011

Practice

Address
1901 W Harrison St
Chicago, IL 60612
Phone
(801) 358-8697
Organisation at this address
Cook County
Cook County
Cook County
Cook County
Cook County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
877

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-24

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