Elk Grove Dental, Llc | |
1121 Nerge Rd Elk Grove Village IL 60007-3260 | |
(847) 895-0000 | |
Not Available |
Full Name | Elk Grove Dental, Llc |
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Speciality | Dentist |
Location | 1121 Nerge Rd, Elk Grove Village, Illinois |
Authorized Official Name and Position | A. Khan (STAFF) |
Authorized Official Contact | 8478950000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elk Grove Dental, Llc 1121 Nerge Rd Elk Grove Village IL 60007-3260 Ph: (847) 895-0000 | Elk Grove Dental, Llc 1121 Nerge Rd Elk Grove Village IL 60007-3260 Ph: (847) 895-0000 |
NPI Number | 1336505171 |
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Provider Enumeration Date | 01/09/2016 |
Last Update Date | 02/18/2016 |
Identifier | Type | State | Issuer |
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1336505171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019.025459 (Illinois) | Primary |
122300000X | Dentist | 019.024689 (Illinois) | Secondary |
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