Chicago Dental Institute | |
25 E Washington St Ste 510 Chicago IL 60602-1732 | |
(317) 258-3815 | |
(312) 668-8580 |
Full Name | Chicago Dental Institute |
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Speciality | Dentist |
Location | 25 E Washington St Ste 510, Chicago, Illinois |
Authorized Official Name and Position | Viren Patel (PRESIDENT) |
Authorized Official Contact | 3123618242 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chicago Dental Institute 25 E Washington St Ste 510 Chicago IL 60602-1732 Ph: (317) 258-3815 | Chicago Dental Institute 25 E Washington St Ste 510 Chicago IL 60602-1732 Ph: (317) 258-3815 |
NPI Number | 1750906392 |
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Provider Enumeration Date | 06/09/2020 |
Last Update Date | 06/09/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750906392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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