| Elite Dental Ltd | |
|
4142 N Sheridan Rd Chicago IL 60613-2007 | |
| (773) 348-6600 | |
| (773) 975-6245 |
| Full Name | Elite Dental Ltd |
|---|---|
| Speciality | Dentist |
| Location | 4142 N Sheridan Rd, Chicago, Illinois |
| Authorized Official Name and Position | Barbara Ann Falcon (OFFICE MANAGER) |
| Authorized Official Contact | 7733486600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental Ltd 4142 N Sheridan Rd Chicago IL 60613-2007 Ph: (773) 348-6600 | Elite Dental Ltd 4142 N Sheridan Rd Chicago IL 60613-2007 Ph: (773) 348-6600 |
| NPI Number | 1184826935 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184826935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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