| Christian Nolten D M D Ltd | |
|
1029 Howard St Suite 201 Evanston IL 60202-3877 | |
| (847) 491-0660 | |
| Not Available |
| Full Name | Christian Nolten D M D Ltd |
|---|---|
| Speciality | Dentist |
| Location | 1029 Howard St, Evanston, Illinois |
| Authorized Official Name and Position | Christian Nolten (DENTIST) |
| Authorized Official Contact | 4147369426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Nolten D M D Ltd 1250 N La Salle Dr Apt 913 Chicago IL 60610-1949 Ph: (414) 736-9426 | Christian Nolten D M D Ltd 1029 Howard St Suite 201 Evanston IL 60202-3877 Ph: (847) 491-0660 |
| NPI Number | 1740515386 |
|---|---|
| Provider Enumeration Date | 10/15/2009 |
| Last Update Date | 10/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740515386 | NPI | - | NPPES |
| 019027750 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019027750 (Illinois) | Primary |
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