| Josie G Oliva Dds Pc | |
|
3074 W Il Route 60 Mundelein IL 60060-4270 | |
| (847) 970-7070 | |
| (847) 970-7077 |
| Full Name | Josie G Oliva Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 3074 W Il Route 60, Mundelein, Illinois |
| Authorized Official Name and Position | Josie Gemarie Oliva (OWNER) |
| Authorized Official Contact | 2246109823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Josie G Oliva Dds Pc 9058 N Cumberland Ave Apt 2w Niles IL 60714-1447 Ph: (224) 610-9823 | Josie G Oliva Dds Pc 3074 W Il Route 60 Mundelein IL 60060-4270 Ph: (847) 970-7070 |
| NPI Number | 1265784706 |
|---|---|
| Provider Enumeration Date | 10/09/2012 |
| Last Update Date | 10/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265784706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019027925 (Illinois) | Primary |
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