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1037 E Woodfield Rd Schaumburg IL 60173-4706 | |
| (847) 466-7392 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1037 E Woodfield Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | Asim M. Ansari (PRESIDENT) |
| Authorized Official Contact | 8474667392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1037 E Woodfield Rd Schaumburg IL 60173-4706 Ph: (847) 466-7392 | 1037 E Woodfield Rd Schaumburg IL 60173-4706 Ph: (847) 466-7392 |
| NPI Number | 1447758313 |
|---|---|
| Provider Enumeration Date | 01/25/2018 |
| Last Update Date | 01/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447758313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019.028486 (Illinois) | Primary |
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