| Katherine F. Stewart D.d.s, L.l.c | |
|
6508 E Riverside Blvd Loves Park IL 61111-4424 | |
| (815) 977-3080 | |
| (815) 708-6086 |
| Full Name | Katherine F. Stewart D.d.s, L.l.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6508 E Riverside Blvd, Loves Park, Illinois |
| Authorized Official Name and Position | Katherine F. Stewart (OWNER/DOCTOR) |
| Authorized Official Contact | 8152297754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine F. Stewart D.d.s, L.l.c 6508 E Riverside Blvd Loves Park IL 61111-4424 Ph: (815) 977-3080 | Katherine F. Stewart D.d.s, L.l.c 6508 E Riverside Blvd Loves Park IL 61111-4424 Ph: (815) 977-3080 |
| NPI Number | 1497315147 |
|---|---|
| Provider Enumeration Date | 06/15/2019 |
| Last Update Date | 06/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497315147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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