| Oak Lawn Dental Group, P.c. | |
|
10220 S Cicero Ave Suite 101 Oak Lawn IL 60453-4082 | |
| (708) 636-0786 | |
| (708) 636-9389 |
| Full Name | Oak Lawn Dental Group, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10220 S Cicero Ave, Oak Lawn, Illinois |
| Authorized Official Name and Position | Glenn R. Schoenheider (OWNER) |
| Authorized Official Contact | 7086360786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Lawn Dental Group, P.c. 10220 S Cicero Ave Suite 101 Oak Lawn IL 60453-4082 Ph: (708) 636-0786 | Oak Lawn Dental Group, P.c. 10220 S Cicero Ave Suite 101 Oak Lawn IL 60453-4082 Ph: (708) 636-0786 |
| NPI Number | 1972796654 |
|---|---|
| Provider Enumeration Date | 08/25/2007 |
| Last Update Date | 08/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972796654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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