| Drs. Pearlman, Klenetsky & Simcox Oral & Maxillofacial Surgery, Ltd. | |
|
1126 Westgate St Oak Park IL 60301-1008 | |
| (708) 383-8851 | |
| (708) 383-6272 |
| Full Name | Drs. Pearlman, Klenetsky & Simcox Oral & Maxillofacial Surgery, Ltd. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1126 Westgate St, Oak Park, Illinois |
| Authorized Official Name and Position | Allan D. Klenetsky (PRESIDENT) |
| Authorized Official Contact | 7083838851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Pearlman, Klenetsky & Simcox Oral & Maxillofacial Surgery, Ltd. 1126 Westgate St Oak Park IL 60301-1008 Ph: (708) 383-8851 | Drs. Pearlman, Klenetsky & Simcox Oral & Maxillofacial Surgery, Ltd. 1126 Westgate St Oak Park IL 60301-1008 Ph: (708) 383-8851 |
| NPI Number | 1497894786 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 04/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497894786 | NPI | - | NPPES |
| 215932 | Other | IL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 21000970 (Illinois) | Primary |
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