| James P Kanellos Dds | |
|
6223 Dempster St Morton Grove IL 60053-2818 | |
| (847) 966-8000 | |
| (847) 832-1687 |
| Full Name | James P Kanellos Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6223 Dempster St, Morton Grove, Illinois |
| Authorized Official Name and Position | James P Kanellos (OWNER/DENTIST) |
| Authorized Official Contact | 3123917529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James P Kanellos Dds 1112 Indian Rd Glenview IL 60025-3225 Ph: (847) 832-1684 | James P Kanellos Dds 6223 Dempster St Morton Grove IL 60053-2818 Ph: (847) 966-8000 |
| NPI Number | 1649602632 |
|---|---|
| Provider Enumeration Date | 08/01/2013 |
| Last Update Date | 08/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649602632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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