| Howard L Blivaiss Dds And Associates Pc | |
|
3500 W Peterson Ave Suite 200 Chicago IL 60659-3306 | |
| (773) 509-1234 | |
| (773) 509-0495 |
| Full Name | Howard L Blivaiss Dds And Associates Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3500 W Peterson Ave, Chicago, Illinois |
| Authorized Official Name and Position | Howard L Blivaiss (PRESIDENT) |
| Authorized Official Contact | 7735091234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Howard L Blivaiss Dds And Associates Pc 3500 W Peterson Ave Suite 200 Chicago IL 60659-3306 Ph: (773) 509-1234 | Howard L Blivaiss Dds And Associates Pc 3500 W Peterson Ave Suite 200 Chicago IL 60659-3306 Ph: (773) 509-1234 |
| NPI Number | 1154481182 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154481182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Illinois) | Primary |
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