| North Suburban Orthodontics, Ltd | |
|
4710 W 95th St Unit B 10 Oak Lawn IL 60453-2546 | |
| (709) 499-0900 | |
| Not Available |
| Full Name | North Suburban Orthodontics, Ltd |
|---|---|
| Speciality | Dentist |
| Location | 4710 W 95th St, Oak Lawn, Illinois |
| Authorized Official Name and Position | Louis Whitesman (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 7347091363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Suburban Orthodontics, Ltd 1 W Superior St Unit 2607 Chicago IL 60654-8803 Ph: (734) 709-1363 | North Suburban Orthodontics, Ltd 4710 W 95th St Unit B 10 Oak Lawn IL 60453-2546 Ph: (709) 499-0900 |
| NPI Number | 1215371505 |
|---|---|
| Provider Enumeration Date | 04/17/2013 |
| Last Update Date | 04/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215371505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026746 (Illinois) | Primary |
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