Illinois Dental Providers (tinley Park), Ltd. | |
15909 Harlem Ave Tinley Park IL 60477-1609 | |
(708) 429-0915 | |
(216) 584-1061 |
Full Name | Illinois Dental Providers (tinley Park), Ltd. |
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Speciality | Dentist |
Location | 15909 Harlem Ave, Tinley Park, Illinois |
Authorized Official Name and Position | Rachel Nittinger (MANAGER CREDENTIALING) |
Authorized Official Contact | 9727550816 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Illinois Dental Providers (tinley Park), Ltd. 7160 Dallas Pkwy Ste 400 Plano TX 75024-7111 Ph: () - | Illinois Dental Providers (tinley Park), Ltd. 15909 Harlem Ave Tinley Park IL 60477-1609 Ph: (708) 429-0915 |
NPI Number | 1508837709 |
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Provider Enumeration Date | 01/27/2006 |
Last Update Date | 02/05/2018 |
Identifier | Type | State | Issuer |
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1508837709 | NPI | - | NPPES |
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Ralph W. Ginn, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15930 75th Ct, Ste. 400, Tinley Park, IL 60477 Phone: 708-444-7288 Fax: 708-444-7291 | |
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