| North Riverside Park Mall Dental | |
|
7501 W Cermak Rd North Riverside IL 60546-1438 | |
| (917) 902-9515 | |
| Not Available |
| Full Name | North Riverside Park Mall Dental |
|---|---|
| Speciality | Dentist |
| Location | 7501 W Cermak Rd, North Riverside, Illinois |
| Authorized Official Name and Position | Rostislav Krasnov (PRESIDENT) |
| Authorized Official Contact | 9179029515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Riverside Park Mall Dental 7501 W Cermak Rd North Riverside IL 60546-1438 Ph: () - | North Riverside Park Mall Dental 7501 W Cermak Rd North Riverside IL 60546-1438 Ph: (917) 902-9515 |
| NPI Number | 1235507583 |
|---|---|
| Provider Enumeration Date | 09/03/2015 |
| Last Update Date | 09/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235507583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.028976 (Illinois) | Primary |
Villasenor Dental Care, P. C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8711 W. Cermak Rd., Suite 1, North Riverside, IL 60546 Phone: 708-442-5227 Fax: 708-442-0420 | |
North Riverside Mall Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7501 W Cermak Rd Ste F16, North Riverside, IL 60546 Phone: 708-402-8001 | |
Denture Service Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7716 W. 26th St., North Riverside, IL 60546 Phone: 708-447-2266 Fax: 708-447-2486 | |
John Lenz Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8917 W Cermak Rd, North Riverside, IL 60546 Phone: 708-442-8787 | |
Premier Dental Clinc, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7345 W 25th St, North Riverside, IL 60546 Phone: 708-447-0900 | |
Benjamin A. Baptist Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2530 Burr Oak Ave, North Riverside, IL 60546 Phone: 708-442-7414 |