| Old Orchard Smiles | |
|
4905 Old Orchard Ctr Su 232 Skokie IL 60077-1458 | |
| (847) 673-2052 | |
| (847) 673-5002 |
| Full Name | Old Orchard Smiles |
|---|---|
| Speciality | Dentist |
| Location | 4905 Old Orchard Ctr, Skokie, Illinois |
| Authorized Official Name and Position | Toni Ellis Wolf (PRESIDENT) |
| Authorized Official Contact | 8476732052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Orchard Smiles 4905 Old Orchard Ctr Su 232 Skokie IL 60077-1458 Ph: (847) 673-2052 | Old Orchard Smiles 4905 Old Orchard Ctr Su 232 Skokie IL 60077-1458 Ph: (847) 673-2052 |
| NPI Number | 1679980924 |
|---|---|
| Provider Enumeration Date | 07/18/2014 |
| Last Update Date | 07/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679980924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019016875 (Illinois) | Primary |
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