| Al Weatherford Dds Inc | |
|
200 E Court St Suite 504 Kankakee IL 60901-3843 | |
| (815) 932-3613 | |
| Not Available |
| Full Name | Al Weatherford Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 E Court St, Kankakee, Illinois |
| Authorized Official Name and Position | Alvin D Weatherford (DENTIST) |
| Authorized Official Contact | 8159323616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Al Weatherford Dds Inc 200 E Court St Suite 504 Kankakee IL 60901-3843 Ph: (815) 932-3613 | Al Weatherford Dds Inc 200 E Court St Suite 504 Kankakee IL 60901-3843 Ph: (815) 932-3613 |
| NPI Number | 1396185633 |
|---|---|
| Provider Enumeration Date | 07/01/2013 |
| Last Update Date | 07/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396185633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | BW5933153 (Illinois) | Primary |
Raffi Leblebijian Dr Raffi Leblebijian & Assoc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 N Wall St, Suite 203, Kankakee, IL 60901 Phone: 815-933-4121 Fax: 815-933-6744 | |
Kankakee School District 111 School-based Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2250 E Crestwood St, Kankakee, IL 60901 Phone: 815-933-0772 Fax: 815-933-6730 | |
Syreeta C Jones Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 986 E Court St, Kankakee, IL 60901 Phone: 815-325-2613 | |
John T Peterson Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Court St, Suite 504, Kankakee, IL 60901 Phone: 815-932-3613 | |
Donald E Krause Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 W Court St, Suite 102, Kankakee, IL 60901 Phone: 815-937-3521 Fax: 815-802-1264 | |
William Mitsos Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1291 S. 7th Ave, Kankakee, IL 60901 Phone: 815-932-0022 Fax: 815-932-1202 |