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3325 N Arlington Heights Road Suite 600a Arlington Heights IL 60004 | |
| (847) 259-8883 | |
| (847) 259-8891 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 3325 N Arlington Heights Road, Arlington Heights, Illinois |
| Authorized Official Name and Position | Herbert M Kanter (ORAL & MAXILLOFACIAL SURGEON PRES) |
| Authorized Official Contact | 8472598883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3325 N Arlington Heights Road Suite 600a Arlington Heights IL 60004 Ph: (847) 259-8883 | 3325 N Arlington Heights Road Suite 600a Arlington Heights IL 60004 Ph: (847) 259-8883 |
| NPI Number | 1679684369 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8325138225 |
|---|---|
| Medicare Enrollment ID | O20071215000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679684369 | NPI | - | NPPES |
| 80005430 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 02100082 (Illinois) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Illinois) | Primary |
| Provider Name | Herbert M Kanter |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013190933 PECOS PAC ID: 3870683774 Enrollment ID: I20071215000126 |
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