| Emil M. Verban | |
|
2103 E Washington St Suite 1c Bloomington IL 61701-4310 | |
| (309) 662-8448 | |
| (309) 662-7617 |
| Full Name | Emil M. Verban |
|---|---|
| Speciality | Dentist |
| Location | 2103 E Washington St, Bloomington, Illinois |
| Authorized Official Name and Position | Emil M. Verban (OWNER) |
| Authorized Official Contact | 3096628448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emil M. Verban 2103 E Washington St Suite 1c Bloomington IL 61701-4310 Ph: (309) 662-8448 | Emil M. Verban 2103 E Washington St Suite 1c Bloomington IL 61701-4310 Ph: (309) 662-8448 |
| NPI Number | 1750633566 |
|---|---|
| Provider Enumeration Date | 10/04/2012 |
| Last Update Date | 10/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750633566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019015656 (Illinois) | Primary |
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