| Oak Brook Dental Affiliates P.c. | |
|
120 Oakbrook Center Mall Suite 510 Oak Brook IL 60523-1806 | |
| (630) 571-0393 | |
| Not Available |
| Full Name | Oak Brook Dental Affiliates P.c. |
|---|---|
| Speciality | Dentist |
| Location | 120 Oakbrook Center Mall, Oak Brook, Illinois |
| Authorized Official Name and Position | James B Chidester (OWNER) |
| Authorized Official Contact | 6305710393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Brook Dental Affiliates P.c. 120 Oakbrook Center Mall Suite 510 Oak Brook IL 60523-1806 Ph: (630) 571-0393 | Oak Brook Dental Affiliates P.c. 120 Oakbrook Center Mall Suite 510 Oak Brook IL 60523-1806 Ph: (630) 571-0393 |
| NPI Number | 1023445186 |
|---|---|
| Provider Enumeration Date | 10/03/2013 |
| Last Update Date | 10/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023445186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19012052 (Illinois) | Primary |
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