Dr Carl L Cheeks Dds Pc | |
1626 Darrow Ave Evanston IL 60201-3418 | |
(847) 869-9708 | |
(847) 869-9715 |
Full Name | Dr Carl L Cheeks Dds Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 1626 Darrow Ave, Evanston, Illinois |
Authorized Official Name and Position | Carl L Cheeks (DR) |
Authorized Official Contact | 8478699708 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr Carl L Cheeks Dds Pc 1626 Darrow Ave Evanston IL 60201-3418 Ph: (847) 869-9708 | Dr Carl L Cheeks Dds Pc 1626 Darrow Ave Evanston IL 60201-3418 Ph: (847) 869-9708 |
NPI Number | 1952648990 |
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Provider Enumeration Date | 01/10/2013 |
Last Update Date | 01/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952648990 | NPI | - | NPPES |
12837 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019012837 (Illinois) | Primary |
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