Glamour Dental South Chicago Heights Llc | |
3330 Chicago Rd South Chicago Heights IL 60411-5423 | |
(708) 248-5108 | |
Not Available |
Full Name | Glamour Dental South Chicago Heights Llc |
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Speciality | Dentist |
Location | 3330 Chicago Rd, South Chicago Heights, Illinois |
Authorized Official Name and Position | Inchun Yang (OWNER) |
Authorized Official Contact | 2243922403 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Glamour Dental South Chicago Heights Llc 1541 Market St Des Plaines IL 60016-4608 Ph: () - | Glamour Dental South Chicago Heights Llc 3330 Chicago Rd South Chicago Heights IL 60411-5423 Ph: (708) 248-5108 |
NPI Number | 1649697806 |
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Provider Enumeration Date | 03/26/2014 |
Last Update Date | 03/26/2014 |
Identifier | Type | State | Issuer |
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1649697806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 019025360 (Illinois) | Primary |