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3450 Lacey Rd Downers Grove IL 60515-5430 | |
(630) 743-4500 | |
(623) 806-7689 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 3450 Lacey Rd, Downers Grove, Illinois |
Authorized Official Name and Position | Matthew J Sweeney (VP & CFO) |
Authorized Official Contact | 6305157307 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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26520 Network Pl Chicago IL 60673-1265 Ph: (630) 743-4500 | 3450 Lacey Rd Downers Grove IL 60515-5430 Ph: (630) 743-4500 |
NPI Number | 1861747248 |
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Provider Enumeration Date | 07/20/2012 |
Last Update Date | 09/25/2024 |
Identifier | Type | State | Issuer |
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1861747248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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