|
| |
|
3055 N Pulaski Rd Chicago IL 60641 | |
| (773) 286-5655 | |
| (773) 286-3084 |
| Full Name | |
|---|---|
| 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 |
|---|---|
3055 N Pulaski Rd Chicago IL 60641 Ph: (773) 286-5655 | 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 |
Portage Park Dental Associates, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5613 W Irving Park Rd, Chicago, IL 60634 Phone: 773-286-4030 Fax: 773-736-0716 | |
Timothy M. Crowe Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 N Michigan Ave, Suite 1329, Chicago, IL 60602 Phone: 312-782-2844 Fax: 312-783-5780 | |
Sheth Dental Assoc. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3705 E 106th St, Chicago, IL 60617 Phone: 773-978-7773 Fax: 773-978-0419 | |
Archer Family Dental Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6615 W Archer Ave, Chicago, IL 60638 Phone: 773-586-9700 | |