|
| |
|
14403 S Bell Rd Homer Glen IL 60491-7881 | |
| (331) 431-9059 | |
| Not Available |
| Full Name | |
|---|---|
| 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 |
|---|---|
1730 Park St Ste 106 Naperville IL 60563-2609 Ph: (708) 966-4018 | 14403 S Bell Rd Homer Glen IL 60491-7881 Ph: (331) 431-9059 |
| NPI Number | 1588055941 |
|---|---|
| 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 |
Earley Family Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15748 S Bell Rd, Homer Glen, IL 60491 Phone: 708-301-2220 Fax: 708-301-2194 | |
Mary Ellen Hoye Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15927 South Bell Road, Homer Glen, IL 60491 Phone: 708-301-3444 Fax: 708-301-6066 | |
Homer-lockport Dental Associates, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12701 W 143rd St, Homer Glen, IL 60491 Phone: 708-301-3800 | |
Sheryl Leipold D.d.s. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15927 S Bell Rd, Homer Glen, IL 60491 Phone: 708-645-0505 Fax: 708-301-6066 | |
Kasper,heaton,wright,pagni,andassociates,ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13161 W 143rd St, Suite 104, Homer Glen, IL 60491 Phone: 708-301-1930 Fax: 708-301-1939 |