| Advanced Periodontics And Implants, Ltd | |
|
900 Chicago Ave Unit 702 Evanston IL 60202-1872 | |
| (312) 854-0806 | |
| Not Available |
| Full Name | Advanced Periodontics And Implants, Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 900 Chicago Ave, Evanston, Illinois |
| Authorized Official Name and Position | Nikisha Nandini Jodhan (PERIODONTIST/ PRESIDENT) |
| Authorized Official Contact | 8475127410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Periodontics And Implants, Ltd 500 Davis St Ste 104 Evanston IL 60201-4600 Ph: (847) 512-7410 | Advanced Periodontics And Implants, Ltd 900 Chicago Ave Unit 702 Evanston IL 60202-1872 Ph: (312) 854-0806 |
| NPI Number | 1356668867 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 04/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356668867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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