| Associated Periodontists,ltd. | |
|
1775 Glenview Rd Suite #212 Glenview IL 60025-2956 | |
| (847) 724-6343 | |
| Not Available |
| Full Name | Associated Periodontists,ltd. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1775 Glenview Rd, Glenview, Illinois |
| Authorized Official Name and Position | Kenneth William Bueltmann (PRESIDENT) |
| Authorized Official Contact | 8477246343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Periodontists,ltd. 1775 Glenview Rd Suite #212 Glenview IL 60025-2956 Ph: (847) 724-6343 | Associated Periodontists,ltd. 1775 Glenview Rd Suite #212 Glenview IL 60025-2956 Ph: (847) 724-6343 |
| NPI Number | 1366505570 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366505570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 21-S753 (Illinois) | Primary |
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