| Jack S. Litz, D.d.s., Ltd. | |
|
6435 S Pulaski Rd Chicago IL 60629-5148 | |
| (773) 735-2515 | |
| Not Available |
| Full Name | Jack S. Litz, D.d.s., Ltd. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6435 S Pulaski Rd, Chicago, Illinois |
| Authorized Official Name and Position | Jack S. Litz (PRESIDENT) |
| Authorized Official Contact | 7737352515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack S. Litz, D.d.s., Ltd. 6435 S Pulaski Rd Chicago IL 60629-5148 Ph: (773) 735-2515 | Jack S. Litz, D.d.s., Ltd. 6435 S Pulaski Rd Chicago IL 60629-5148 Ph: (773) 735-2515 |
| NPI Number | 1073822490 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 10/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073822490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 01912745 (Indiana) | Primary |
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