| |
4066 North Milwaukee Ave Chicago IL 60641 | |
(773) 541-8137 | |
(216) 584-1017 |
Full Name | |
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Speciality | Dentist |
Location | 4066 North Milwaukee Ave, Chicago, Illinois |
Authorized Official Name and Position | Rachel Nittinger (MANAGER CREDENTIALING) |
Authorized Official Contact | 9727550816 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7160 Dallas Pkwy Ste 400 Plano TX 75024-7111 Ph: () - | 4066 North Milwaukee Ave Chicago IL 60641 Ph: (773) 541-8137 |
NPI Number | 1831162528 |
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Provider Enumeration Date | 02/11/2006 |
Last Update Date | 10/17/2017 |
Identifier | Type | State | Issuer |
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1831162528 | NPI | - | NPPES |
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