| Marietta A Bufalino Inc | |
|
4005 1 2 Algonquin Rd Rolling Meadows IL 60008 | |
| (847) 397-6060 | |
| (847) 397-6063 |
| Full Name | Marietta A Bufalino Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4005 1 2 Algonquin Rd, Rolling Meadows, Illinois |
| Authorized Official Name and Position | Marietta A Bufalino (PRESIDENT) |
| Authorized Official Contact | 8473976060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marietta A Bufalino Inc 4005 1 2 Algonquin Rd Rolling Meadows IL 60008 Ph: (847) 397-6060 | Marietta A Bufalino Inc 4005 1 2 Algonquin Rd Rolling Meadows IL 60008 Ph: (847) 397-6060 |
| NPI Number | 1952453979 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 01/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952453979 | NPI | - | NPPES |
| 019019069 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019019069 (Illinois) | Primary |
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