| Lincoln Court Dental, Ltd | |
|
8037 Lincoln Ave Skokie IL 60077-3612 | |
| (847) 679-5558 | |
| Not Available |
| Full Name | Lincoln Court Dental, Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8037 Lincoln Ave, Skokie, Illinois |
| Authorized Official Name and Position | Richard Randy Mikos (OWNER/PRESIDENT) |
| Authorized Official Contact | 8476795558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Court Dental, Ltd 8037 Lincoln Ave Skokie IL 60077-3612 Ph: (847) 679-5558 | Lincoln Court Dental, Ltd 8037 Lincoln Ave Skokie IL 60077-3612 Ph: (847) 679-5558 |
| NPI Number | 1417128489 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417128489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Illinois) | Primary |
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