Northern Illinois Endodontics, Ltd | |
3251 Commerce Dr Ste A Dekalb IL 60115-7908 | |
(815) 756-8881 | |
Not Available |
Full Name | Northern Illinois Endodontics, Ltd |
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Speciality | Dentist - Endodontics |
Location | 3251 Commerce Dr Ste A, Dekalb, Illinois |
Authorized Official Name and Position | Thomas E Allaway (PRESIDENT) |
Authorized Official Contact | 8157568881 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northern Illinois Endodontics, Ltd 3251 Commerce Dr Ste A Dekalb IL 60115-7908 Ph: (815) 756-8881 | Northern Illinois Endodontics, Ltd 3251 Commerce Dr Ste A Dekalb IL 60115-7908 Ph: (815) 756-8881 |
NPI Number | 1023238797 |
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Provider Enumeration Date | 04/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023238797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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