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1501 E. Woodfield Rd. Suite 100e Schaumburg IL 60173 | |
| (847) 517-2800 | |
| (847) 517-8770 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1501 E. Woodfield Rd., Schaumburg, Illinois |
| Authorized Official Name and Position | Rebecca E Montgomery (OWNER) |
| Authorized Official Contact | 8475172800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1501 E. Woodfield Rd. Suite 100e Schaumburg IL 60173 Ph: (847) 517-2800 | 1501 E. Woodfield Rd. Suite 100e Schaumburg IL 60173 Ph: (847) 517-2800 |
| NPI Number | 1346741931 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 02/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346741931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19-027067 (Illinois) | Primary |
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