| Occ Judge Pc | |
|
1040 W Randolph St Chicago IL 60607-2215 | |
| (315) 454-6000 | |
| Not Available |
| Full Name | Occ Judge Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1040 W Randolph St, Chicago, Illinois |
| Authorized Official Name and Position | Arwinder Judge (OWNER) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Occ Judge Pc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Occ Judge Pc 1040 W Randolph St Chicago IL 60607-2215 Ph: (315) 454-6000 |
| NPI Number | 1538802467 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 06/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538802467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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