| Image Dental Llc | |
|
3020 S Cicero Ave Cicero IL 60804-3638 | |
| (708) 863-2000 | |
| Not Available |
| Full Name | Image Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3020 S Cicero Ave, Cicero, Illinois |
| Authorized Official Name and Position | Sinan Razzak (OWNER) |
| Authorized Official Contact | 7088632000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Image Dental Llc 3020 S Cicero Ave Cicero IL 60804-3638 Ph: (708) 863-2000 | Image Dental Llc 3020 S Cicero Ave Cicero IL 60804-3638 Ph: (708) 863-2000 |
| NPI Number | 1063789584 |
|---|---|
| Provider Enumeration Date | 11/29/2011 |
| Last Update Date | 03/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063789584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019027470 (Illinois) | Primary |
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