Dental Starz, Llc | |
2121 S Wolf Rd Apt 412 Hillside IL 60162-2144 | |
(630) 290-2023 | |
Not Available |
Full Name | Dental Starz, Llc |
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Speciality | Clinic/center - Dental |
Location | 2121 S Wolf Rd Apt 412, Hillside, Illinois |
Authorized Official Name and Position | Ilyas Mohammed Ahmed (OWNER) |
Authorized Official Contact | 6302902023 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Starz, Llc 75 W North Ave # 400 Northlake IL 60164-2306 Ph: () - | Dental Starz, Llc 2121 S Wolf Rd Apt 412 Hillside IL 60162-2144 Ph: (630) 290-2023 |
NPI Number | 1023276292 |
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Provider Enumeration Date | 05/23/2008 |
Last Update Date | 05/23/2008 |
Identifier | Type | State | Issuer |
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1023276292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 019-026721 (Illinois) | Primary |
Orthodontic Experts Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Mannheim Rd Unit G04, Hillside, IL 60162 Phone: 847-749-4340 |