Chicago Surgical Arts | |
1009 W Webster Ave Chicago IL 60614-3502 | |
(872) 829-3280 | |
(872) 829-3281 |
Full Name | Chicago Surgical Arts |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1009 W Webster Ave, Chicago, Illinois |
Authorized Official Name and Position | Brian Shah (PRESIDENT) |
Authorized Official Contact | 3126596163 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chicago Surgical Arts 1009 W Webster Ave Chicago IL 60614-3502 Ph: (872) 829-3280 | Chicago Surgical Arts 1009 W Webster Ave Chicago IL 60614-3502 Ph: (872) 829-3280 |
NPI Number | 1386070167 |
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Provider Enumeration Date | 09/24/2013 |
Last Update Date | 09/24/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386070167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019028191 (Illinois) | Primary |
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