| Illiana Endodontics, P.c. | |
|
500 Ashland Ave. Chicago Heights IL 60411 | |
| (708) 755-2021 | |
| (708) 755-2027 |
| Full Name | Illiana Endodontics, P.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 500 Ashland Ave., Chicago Heights, Illinois |
| Authorized Official Name and Position | Michael John Mintz (PRESIDENT) |
| Authorized Official Contact | 7087552021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illiana Endodontics, P.c. 500 Ashland Ave. Chicago Heights IL 60411 Ph: (708) 755-2021 | Illiana Endodontics, P.c. 500 Ashland Ave. Chicago Heights IL 60411 Ph: (708) 755-2021 |
| NPI Number | 1912070228 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912070228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (Illinois) | Primary |
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