| James M Goril Dds Ltd | |
|
13247 S Baltimore Ave Chicago IL 60633-1431 | |
| (773) 646-4664 | |
| Not Available |
| Full Name | James M Goril Dds Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13247 S Baltimore Ave, Chicago, Illinois |
| Authorized Official Name and Position | James M Goril (PRESIDENT) |
| Authorized Official Contact | 7736464664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James M Goril Dds Ltd 13247 S Baltimore Ave Chicago IL 60633-1431 Ph: (773) 646-4664 | James M Goril Dds Ltd 13247 S Baltimore Ave Chicago IL 60633-1431 Ph: (773) 646-4664 |
| NPI Number | 1164795175 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 02/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164795175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019-17193 (Illinois) | Primary |
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