| Downersgrovectd Llc | |
|
5145 Washington St Downers Grove IL 60515-4701 | |
| (630) 968-0098 | |
| Not Available |
| Full Name | Downersgrovectd Llc |
|---|---|
| Speciality | Dentist |
| Location | 5145 Washington St, Downers Grove, Illinois |
| Authorized Official Name and Position | Mitch Weiland (ASSISTANT CONTROLLER) |
| Authorized Official Contact | 6083430818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Downersgrovectd Llc 8025 Excelsior Dr Madison WI 53717-1900 Ph: (608) 343-0818 | Downersgrovectd Llc 5145 Washington St Downers Grove IL 60515-4701 Ph: (630) 968-0098 |
| NPI Number | 1760159917 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760159917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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