| Ifantis Dental Care | |
|
9251 Waukegan Rd Morton Grove IL 60053-2102 | |
| (847) 663-0003 | |
| (847) 663-0390 |
| Full Name | Ifantis Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9251 Waukegan Rd, Morton Grove, Illinois |
| Authorized Official Name and Position | John Ifantis (OFFICE MANAGER) |
| Authorized Official Contact | 8476630003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ifantis Dental Care 9251 Waukegan Rd Morton Grove IL 60053-2102 Ph: (847) 663-0003 | Ifantis Dental Care 9251 Waukegan Rd Morton Grove IL 60053-2102 Ph: (847) 663-0003 |
| NPI Number | 1891245015 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 10/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891245015 | NPI | - | NPPES |
| 019024881 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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