| Alexander Reznikov, Dds, Pc | |
|
9825 S Pulaski Rd Ste 1 Evergreen Park IL 60805-3385 | |
| (708) 424-1400 | |
| Not Available |
| Full Name | Alexander Reznikov, Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9825 S Pulaski Rd Ste 1, Evergreen Park, Illinois |
| Authorized Official Name and Position | Alexander Reznikov (PRESIDENT) |
| Authorized Official Contact | 3125880043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Reznikov, Dds, Pc 1723 Wildberry Dr Unit A Glenview IL 60025-1794 Ph: (847) 877-3570 | Alexander Reznikov, Dds, Pc 9825 S Pulaski Rd Ste 1 Evergreen Park IL 60805-3385 Ph: (708) 424-1400 |
| NPI Number | 1649860149 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 01/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649860149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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