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932 Bode Rd Schaumburg IL 60194-2702 | |
| (847) 769-4132 | |
| (847) 310-6796 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 932 Bode Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | Mayank R Adatia (PRESIDENT) |
| Authorized Official Contact | 8473100100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
932 Bode Rd Schaumburg IL 60194-2702 Ph: (847) 769-4132 | 932 Bode Rd Schaumburg IL 60194-2702 Ph: (847) 769-4132 |
| NPI Number | 1366612889 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 03/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366612889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Illinois) | Primary |
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