Ivanhoe Dental Group, Ltd. | |
61 W 144th St Riverdale IL 60827-2850 | |
(708) 849-8627 | |
(708) 841-5994 |
Full Name | Ivanhoe Dental Group, Ltd. |
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Speciality | Dentist - General Practice |
Location | 61 W 144th St, Riverdale, Illinois |
Authorized Official Name and Position | Leo R. Finley (DENTAL DIRECTOR) |
Authorized Official Contact | 7088498627 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ivanhoe Dental Group, Ltd. 61 W 144th St Riverdale IL 60827-2850 Ph: (708) 849-8627 | Ivanhoe Dental Group, Ltd. 61 W 144th St Riverdale IL 60827-2850 Ph: (708) 849-8627 |
NPI Number | 1104968304 |
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Provider Enumeration Date | 02/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1104968304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 63884111 (Illinois) | Primary |
Salem & Shah Dental Group, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 W 144th St, Riverdale, IL 60827 Phone: 708-849-8627 |