| Harlem Dental Ltd. | |
|
2911 S. Harlem Ave. Berwyn IL 60402-2827 | |
| (708) 749-1643 | |
| (708) 749-1797 |
| Full Name | Harlem Dental Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2911 S. Harlem Ave., Berwyn, Illinois |
| Authorized Official Name and Position | Patrick F. Leonard (PRESIDENT) |
| Authorized Official Contact | 7087491643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harlem Dental Ltd. 2911 S. Harlem Ave. Berwyn IL 60402-2827 Ph: (708) 749-1643 | Harlem Dental Ltd. 2911 S. Harlem Ave. Berwyn IL 60402-2827 Ph: (708) 749-1643 |
| NPI Number | 1598834046 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 04/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598834046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019 016359 (Illinois) | Primary |
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