Eco Dental | |
14403 S Bell Rd Homer Glen IL 60491-7881 | |
(331) 431-9059 | |
Not Available |
Full Name | Eco Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 14403 S Bell Rd, Homer Glen, Illinois |
Authorized Official Name and Position | Sohail S Shafi (MANAGER) |
Authorized Official Contact | 6308423705 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eco Dental 1730 Park St Ste 106 Naperville IL 60563-2609 Ph: (708) 966-4018 | Eco Dental 14403 S Bell Rd Homer Glen IL 60491-7881 Ph: (331) 431-9059 |
NPI Number | 1588055941 |
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Provider Enumeration Date | 02/06/2015 |
Last Update Date | 12/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588055941 | NPI | - | NPPES |
019024809 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019024809 (Illinois) | Primary |
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