| Legend Dental Inc | |
|
5400 N Milwaukee Ave Chicago IL 60630-1272 | |
| (773) 762-8300 | |
| (773) 696-9110 |
| Full Name | Legend Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 5400 N Milwaukee Ave, Chicago, Illinois |
| Authorized Official Name and Position | Alan E Shlimon (PRESIDENT) |
| Authorized Official Contact | 7737628300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legend Dental Inc 1815 Balmoral Ct Glendale Heights IL 60139-1307 Ph: (312) 388-2526 | Legend Dental Inc 5400 N Milwaukee Ave Chicago IL 60630-1272 Ph: (773) 762-8300 |
| NPI Number | 1629334024 |
|---|---|
| Provider Enumeration Date | 04/10/2012 |
| Last Update Date | 07/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629334024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019028272 (Illinois) | Primary |
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