| Md Yorkville Llc | |
|
728 E. Veterans Parkway Suite 113 Yorkville IL 60560 | |
| (630) 553-2505 | |
| Not Available |
| Full Name | Md Yorkville Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 728 E. Veterans Parkway, Yorkville, Illinois |
| Authorized Official Name and Position | Eric Mitra (MEMBER) |
| Authorized Official Contact | 6305532505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Yorkville Llc 728 E. Veterans Parkway Suite 113 Yorkville IL 60560 Ph: (630) 553-2505 | Md Yorkville Llc 728 E. Veterans Parkway Suite 113 Yorkville IL 60560 Ph: (630) 553-2505 |
| NPI Number | 1679972582 |
|---|---|
| Provider Enumeration Date | 08/15/2014 |
| Last Update Date | 08/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679972582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019027319 (Illinois) | Primary |
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