| Mark J Humenik, Dds, Pc | |
|
1220 Meadow Rd Suite 306 Northbrook IL 60062-3698 | |
| (847) 272-5400 | |
| Not Available |
| Full Name | Mark J Humenik, Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1220 Meadow Rd, Northbrook, Illinois |
| Authorized Official Name and Position | Mark Joseph Humenik (PRESIDENT) |
| Authorized Official Contact | 8472725400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J Humenik, Dds, Pc 1220 Meadow Rd Suite 306 Northbrook IL 60062-3698 Ph: (847) 272-5400 | Mark J Humenik, Dds, Pc 1220 Meadow Rd Suite 306 Northbrook IL 60062-3698 Ph: (847) 272-5400 |
| NPI Number | 1598946881 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 11/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598946881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Illinois) | Primary |
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