Celeste L Medynskyj, Dds Ltd | |
1600 W Dempster St Ll1 Park Ridge IL 60068 | |
(847) 699-4000 | |
Not Available |
Full Name | Celeste L Medynskyj, Dds Ltd |
---|---|
Speciality | Dentist |
Location | 1600 W Dempster St, Park Ridge, Illinois |
Authorized Official Name and Position | Celeste L Medynskyj (CHIEF OFFICER) |
Authorized Official Contact | 7084530793 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Celeste L Medynskyj, Dds Ltd 1830 N 74th Ave Elmwood Park IL 60707 Ph: (708) 453-0793 | Celeste L Medynskyj, Dds Ltd 1600 W Dempster St Ll1 Park Ridge IL 60068 Ph: (847) 699-4000 |
NPI Number | 1275833394 |
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Provider Enumeration Date | 10/22/2010 |
Last Update Date | 10/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275833394 | NPI | - | NPPES |
1891921177 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019027913 (Illinois) | Primary |
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