Igor Botvinnik Dds | |
7963 Golf Road Morton Grove IL 60053 | |
(847) 583-0033 | |
(847) 583-0013 |
Full Name | Igor Botvinnik Dds |
---|---|
Speciality | Dentist - General Practice |
Location | 7963 Golf Road, Morton Grove, Illinois |
Authorized Official Name and Position | Igor Botvinnik (PRESIDENT OWNER) |
Authorized Official Contact | 8475830033 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Igor Botvinnik Dds 7963 Golf Road Morton Grove IL 60053 Ph: (847) 583-0033 | Igor Botvinnik Dds 7963 Golf Road Morton Grove IL 60053 Ph: (847) 583-0033 |
NPI Number | 1902941263 |
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Provider Enumeration Date | 02/21/2007 |
Last Update Date | 08/16/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902941263 | NPI | - | NPPES |
1004642 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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