Dr Isabel C. Suastegui-mursuli Dds Ltd | |
1835 Broadway St Suite 210 Melrose Park IL 60160-2040 | |
(708) 345-1168 | |
Not Available |
Full Name | Dr Isabel C. Suastegui-mursuli Dds Ltd |
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Speciality | Dentist |
Location | 1835 Broadway St, Melrose Park, Illinois |
Authorized Official Name and Position | Isabel Cristina Suastegui-mursuli (PRESIDENT/OWNER) |
Authorized Official Contact | 7083451168 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr Isabel C. Suastegui-mursuli Dds Ltd 1835 Broadway St Suite 210 Melrose Park IL 60160-2040 Ph: (708) 345-1168 | Dr Isabel C. Suastegui-mursuli Dds Ltd 1835 Broadway St Suite 210 Melrose Park IL 60160-2040 Ph: (708) 345-1168 |
NPI Number | 1831480458 |
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Provider Enumeration Date | 04/30/2011 |
Last Update Date | 04/30/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831480458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019022083 (Illinois) | Primary |
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