| Four On The Floor | |
|
5947 W Montrose Ave Chicago IL 60634-1629 | |
| (773) 286-5935 | |
| Not Available |
| Full Name | Four On The Floor |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5947 W Montrose Ave, Chicago, Illinois |
| Authorized Official Name and Position | Kevin Mccoy (PRESIDENT) |
| Authorized Official Contact | 7732865935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four On The Floor 5947 W Montrose Ave Chicago IL 60634-1629 Ph: (773) 286-5935 | Four On The Floor 5947 W Montrose Ave Chicago IL 60634-1629 Ph: (773) 286-5935 |
| NPI Number | 1003826116 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003826116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Primary |
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