| 956 Deerfield Sto Llc | |
|
956 Deerfield Rd Unit B Deerfield IL 60015-4155 | |
| (847) 940-4700 | |
| Not Available |
| Full Name | 956 Deerfield Sto Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 956 Deerfield Rd Unit B, Deerfield, Illinois |
| Authorized Official Name and Position | Melissa Villafane-swaby (OWNER) |
| Authorized Official Contact | 6305320207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 956 Deerfield Sto Llc 2450 N Plum Grove Rd Unit 147 Schaumburg IL 60173-4857 Ph: () - | 956 Deerfield Sto Llc 956 Deerfield Rd Unit B Deerfield IL 60015-4155 Ph: (847) 940-4700 |
| NPI Number | 1417773920 |
|---|---|
| Provider Enumeration Date | 11/29/2024 |
| Last Update Date | 11/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417773920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dental Professionals Of Illinois, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 S Waukegan Rd, Deerfield, IL 60015 Phone: 224-515-7390 Fax: 224-300-6393 | |
Timothy P Bashford Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Lake Cook Rd, Deerfield, IL 60015 Phone: 847-256-9507 Fax: 847-256-9750 | |
Zen Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Lake Cook Rd, Deerfield, IL 60015 Phone: 847-412-0600 | |
Meta Endo Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Lake Cook Rd Ste 300, Deerfield, IL 60015 Phone: 773-413-9826 | |
Alexius J Crowley Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Osterman, Suite 101, Deerfield, IL 60015 Phone: 847-945-0444 Fax: 847-945-6179 |