| Ida L Aguilar Dds | |
|
3055 N Pulaski Rd Chicago IL 60641 | |
| (773) 286-5655 | |
| (773) 286-3084 |
| Full Name | Ida L Aguilar Dds |
|---|---|
| Speciality | Dentist |
| Location | 3055 N Pulaski Rd, Chicago, Illinois |
| Authorized Official Name and Position | Ida Lucia Aguilar (DDS) |
| Authorized Official Contact | 7732865655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ida L Aguilar Dds 3055 N Pulaski Rd Chicago IL 60641 Ph: (773) 286-5655 | Ida L Aguilar Dds 3055 N Pulaski Rd Chicago IL 60641 Ph: (773) 286-5655 |
| NPI Number | 1336260371 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336260371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019020211 (Illinois) | Primary |
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