| Athena Dental Group Of Chicago | |
|
116 W Hubbard St 6th Floor Chicago IL 60654-8542 | |
| (312) 527-1500 | |
| Not Available |
| Full Name | Athena Dental Group Of Chicago |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 116 W Hubbard St, Chicago, Illinois |
| Authorized Official Name and Position | Andrea M Miller Finch (DENTIST) |
| Authorized Official Contact | 3125271500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Athena Dental Group Of Chicago Po Box 1145 P.o. Box 1145 Frankfort IL 60423-7145 Ph: (312) 527-1500 | Athena Dental Group Of Chicago 116 W Hubbard St 6th Floor Chicago IL 60654-8542 Ph: (312) 527-1500 |
| NPI Number | 1245401124 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 01/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245401124 | NPI | - | NPPES |
| 1002966 | Medicaid | IL | |
| 1124028113 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019022059 (Illinois) | Primary |
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