Mchenry Dental Associates | |
1315 N Riverside Dr Mchenry IL 60050-4509 | |
(815) 385-1360 | |
Not Available |
Full Name | Mchenry Dental Associates |
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Speciality | Clinic/center - Dental |
Location | 1315 N Riverside Dr, Mchenry, Illinois |
Authorized Official Name and Position | Kristy Wolter (INSURANCE MANAGER) |
Authorized Official Contact | 6308695857 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mchenry Dental Associates 1699 E Woodfield Rd Ste 102 Schaumburg IL 60173-4955 Ph: (630) 339-3172 | Mchenry Dental Associates 1315 N Riverside Dr Mchenry IL 60050-4509 Ph: (815) 385-1360 |
NPI Number | 1982197984 |
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Provider Enumeration Date | 06/13/2018 |
Last Update Date | 06/13/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982197984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 019021569 (Illinois) | Primary |
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Mchenry Dental Center, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 N Riverside Dr, Mchenry, IL 60050 Phone: 815-385-1360 Fax: 815-385-3879 | |
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