| Hicks Family Dental Clinic | |
|
2381 N Hicks Rd Palatine IL 60074-1806 | |
| (847) 359-9100 | |
| (630) 477-0447 |
| Full Name | Hicks Family Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2381 N Hicks Rd, Palatine, Illinois |
| Authorized Official Name and Position | Sumrana S Ahmed (MEMBER) |
| Authorized Official Contact | 8473599100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hicks Family Dental Clinic 2381 N Hicks Rd Palatine IL 60074-1806 Ph: (847) 359-9100 | Hicks Family Dental Clinic 2381 N Hicks Rd Palatine IL 60074-1806 Ph: (847) 359-9100 |
| NPI Number | 1144543919 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 03/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144543919 | NPI | - | NPPES |
| 1005798 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026293 (Illinois) | Primary |
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