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2001 Butterfield Rd Suite 140 Downers Grove IL 60515-1050 | |
| (630) 493-0914 | |
| (630) 493-0917 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2001 Butterfield Rd, Downers Grove, Illinois |
| Authorized Official Name and Position | Sherif Albert (PRESIDENT) |
| Authorized Official Contact | 6304930914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2001 Butterfield Rd Suite 140 Downers Grove IL 60515-1050 Ph: (630) 493-0914 | 2001 Butterfield Rd Suite 140 Downers Grove IL 60515-1050 Ph: (630) 493-0914 |
| NPI Number | 1396062550 |
|---|---|
| Provider Enumeration Date | 04/28/2010 |
| Last Update Date | 04/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396062550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026818 (Illinois) | Primary |
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