| Healthcare For Dental Systems | |
|
3550 W Peterson Ave Suite 305 Chicago IL 60659-3270 | |
| (773) 267-1199 | |
| (773) 267-5599 |
| Full Name | Healthcare For Dental Systems |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 3550 W Peterson Ave, Chicago, Illinois |
| Authorized Official Name and Position | Bernard M. Cole (PRESIDENT) |
| Authorized Official Contact | 7732671199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare For Dental Systems 3550 W Peterson Ave Suite 305 Chicago IL 60659-3270 Ph: (773) 267-1199 | Healthcare For Dental Systems 3550 W Peterson Ave Suite 305 Chicago IL 60659-3270 Ph: (773) 267-1199 |
| NPI Number | 1134391055 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134391055 | NPI | - | NPPES |
| DORAL 109141 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (Illinois) | Primary |
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