| Northwestern Dental Group Ltd | |
|
7745 N Milwaukee Ave Niles IL 60714-4735 | |
| (847) 967-6744 | |
| (847) 967-1460 |
| Full Name | Northwestern Dental Group Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7745 N Milwaukee Ave, Niles, Illinois |
| Authorized Official Name and Position | Lawrence Mulvaney (OWNER) |
| Authorized Official Contact | 8479453515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Dental Group Ltd 400 Lake Cook Rd Ste 114 Deerfield IL 60015-4929 Ph: (847) 945-3515 | Northwestern Dental Group Ltd 7745 N Milwaukee Ave Niles IL 60714-4735 Ph: (847) 967-6744 |
| NPI Number | 1508080110 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 04/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508080110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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