| Northbrook Dental Care Llc | |
|
1135 Church St Northbrook IL 60062 | |
| (847) 205-9337 | |
| Not Available |
| Full Name | Northbrook Dental Care Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1135 Church St, Northbrook, Illinois |
| Authorized Official Name and Position | Jay W Rodgers (CEO) |
| Authorized Official Contact | 3124203614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northbrook Dental Care Llc 1135 Church St Northbrook IL 60062-3601 Ph: (847) 205-9337 | Northbrook Dental Care Llc 1135 Church St Northbrook IL 60062 Ph: (847) 205-9337 |
| NPI Number | 1326311622 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 06/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326311622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019026122 (Illinois) | Primary |
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