| Midwest Family Dental, Llc | |
|
916 N Green Bay Rd Waukegan IL 60085-2240 | |
| (773) 267-8600 | |
| (773) 267-8601 |
| Full Name | Midwest Family Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 916 N Green Bay Rd, Waukegan, Illinois |
| Authorized Official Name and Position | Randolph Chang (MEMBER) |
| Authorized Official Contact | 7732678600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Family Dental, Llc 916 N Green Bay Rd Waukegan IL 60085-2240 Ph: (773) 267-8600 | Midwest Family Dental, Llc 916 N Green Bay Rd Waukegan IL 60085-2240 Ph: (773) 267-8600 |
| NPI Number | 1508268053 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 09/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508268053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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