| Endodontic & Periodontic Associates, Ltd | |
|
18130 Halsted St Homewood IL 60430-2507 | |
| (708) 799-2550 | |
| (708) 799-2568 |
| Full Name | Endodontic & Periodontic Associates, Ltd |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 18130 Halsted St, Homewood, Illinois |
| Authorized Official Name and Position | J. Michael Cvengros (COO & PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7089221165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic & Periodontic Associates, Ltd 18130 Halsted St Homewood IL 60430-2507 Ph: (708) 799-2550 | Endodontic & Periodontic Associates, Ltd 18130 Halsted St Homewood IL 60430-2507 Ph: (708) 799-2550 |
| NPI Number | 1013075480 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 10/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013075480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 060000064 (Illinois) | Primary |
| 1223P0300X | Dentist - Periodontics | 060000064 (Illinois) | Secondary |
Melinda Fried Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1924 Hickory Rd, Homewood, IL 60430 Phone: 708-798-0444 | |
Ann E. Mazzotti, D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18650 Dixie Hwy, Homewood, IL 60430 Phone: 708-798-4424 Fax: 708-798-7233 | |
George E Morris, Jr, Dds, Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 2158 W. 183rd St., Homewood, IL 60430 Phone: 708-798-4730 Fax: 708-798-4963 | |
Videka Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1924 Hickory Rd, Homewood, IL 60430 Phone: 708-798-0444 Fax: 708-798-3358 | |
Duane E. Wolff, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18161 Morris Ave, Suite 107, Homewood, IL 60430 Phone: 708-799-7722 Fax: 708-799-7748 | |
Lisa Grant Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18243 Harwood Ave, Homewood, IL 60430 Phone: 708-799-3030 |