Chicago Dental Society Foundation | |
416 E Roosevelt Rd Ste 102 Wheaton IL 60187-5589 | |
(630) 260-8530 | |
Not Available |
Full Name | Chicago Dental Society Foundation |
---|---|
Speciality | Dentist |
Location | 416 E Roosevelt Rd Ste 102, Wheaton, Illinois |
Authorized Official Name and Position | Kristen Weber (ED) |
Authorized Official Contact | 3128367301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chicago Dental Society Foundation 416 E Roosevelt Rd Ste 102 Wheaton IL 60187-5589 Ph: (630) 260-8530 | Chicago Dental Society Foundation 416 E Roosevelt Rd Ste 102 Wheaton IL 60187-5589 Ph: (630) 260-8530 |
NPI Number | 1194497081 |
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Provider Enumeration Date | 09/29/2021 |
Last Update Date | 09/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194497081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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