| Goduco Family Dentistry, Ltd. | |
|
281 Evergreen Dr Vernon Hills IL 60061-2905 | |
| (847) 816-0463 | |
| (847) 816-0468 |
| Full Name | Goduco Family Dentistry, Ltd. |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 281 Evergreen Dr, Vernon Hills, Illinois |
| Authorized Official Name and Position | Philip V Goduco (DENTAL PHYSICIAN) |
| Authorized Official Contact | 8478160463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goduco Family Dentistry, Ltd. 281 Evergreen Dr Vernon Hills IL 60061-2905 Ph: (847) 816-0463 | Goduco Family Dentistry, Ltd. 281 Evergreen Dr Vernon Hills IL 60061-2905 Ph: (847) 816-0463 |
| NPI Number | 1881826279 |
|---|---|
| Provider Enumeration Date | 08/18/2009 |
| Last Update Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881826279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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