| Mobile Medical And Dental Services, P.c. | |
|
9716 S Longwood Dr Chicago IL 60643-1610 | |
| (708) 250-6175 | |
| Not Available |
| Full Name | Mobile Medical And Dental Services, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 9716 S Longwood Dr, Chicago, Illinois |
| Authorized Official Name and Position | William Crevier (PRESIDENT) |
| Authorized Official Contact | 7082506175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Medical And Dental Services, P.c. 9716 S Longwood Dr Chicago IL 60643-1610 Ph: (708) 250-6175 | Mobile Medical And Dental Services, P.c. 9716 S Longwood Dr Chicago IL 60643-1610 Ph: (708) 250-6175 |
| NPI Number | 1376869024 |
|---|---|
| Provider Enumeration Date | 04/19/2010 |
| Last Update Date | 04/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376869024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.021712 (Illinois) | Primary |
| 207Q00000X | Family Medicine | 036.074856 (Illinois) | Secondary |
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