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612 E Ogden Ave Naperville IL 60563-3237 | |
| (630) 369-8950 | |
| (630) 369-7342 |
| Full Name | |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 612 E Ogden Ave, Naperville, Illinois |
| Authorized Official Name and Position | Kaveh Nasireddin Adel (PRESIDENT) |
| Authorized Official Contact | 6303698950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
612 E Ogden Ave Naperville IL 60563-3237 Ph: (630) 369-8950 | 612 E Ogden Ave Naperville IL 60563-3237 Ph: (630) 369-8950 |
| NPI Number | 1922486521 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 05/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922486521 | NPI | - | NPPES |
| 019-024954 | Other | IL | ILLINOIS STATE DENTAL LICENSE |
| 1649342668 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019024954 (Illinois) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 019024954 (Illinois) | Primary |
Ogden Valley Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 W Ogden Ave, Naperville, IL 60563 Phone: 630-305-6161 Fax: 630-701-1966 | |
Naperville Dental Associates, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Hobson Rd, Suite 240, Naperville, IL 60540 Phone: 630-369-0101 Fax: 630-369-1586 | |
C & N Grathwol Dmd P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 E Ogden Ave, Naperville, IL 60563 Phone: 630-778-9500 | |
Ashbury Dental Clinic Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2272 W 95th St, Suite 315, Naperville, IL 60564 Phone: 630-717-0111 |