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3460 N Lincoln Ave Chicago IL 60657-1173 | |
(773) 549-2800 | |
(773) 549-4810 |
Full Name | |
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Speciality | Dentist |
Location | 3460 N Lincoln Ave, Chicago, Illinois |
Authorized Official Name and Position | Stefan J Presszing (PRESIDENT) |
Authorized Official Contact | 7735492800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3460 N Lincoln Ave Chicago IL 60657-1173 Ph: (773) 549-2800 | 3460 N Lincoln Ave Chicago IL 60657-1173 Ph: (773) 549-2800 |
NPI Number | 1508977646 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 04/16/2012 |
Identifier | Type | State | Issuer |
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1508977646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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