| Amm Ltd | |
|
7045 Veterans Blvd A-1 Burr Ridge IL 60528-5605 | |
| (708) 354-0835 | |
| (630) 325-5176 |
| Full Name | Amm Ltd |
|---|---|
| Speciality | Dentist |
| Location | 7045 Veterans Blvd, Burr Ridge, Illinois |
| Authorized Official Name and Position | Paull C Gossett (OWNER (PRESIDENT)) |
| Authorized Official Contact | 7083540835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amm Ltd 7045 Veterans Blvd A-1 Burr Ridge IL 60528-5605 Ph: (708) 354-0835 | Amm Ltd 7045 Veterans Blvd A-1 Burr Ridge IL 60528-5605 Ph: (708) 354-0835 |
| NPI Number | 1891825527 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 09/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891825527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019018250 (Illinois) | Primary |
| 122300000X | Dentist | 019027081 (Illinois) | Secondary |
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