| Paul Imhof/raymond Jeleniauskas Dds | |
|
1645 S River Rd Des Plaines IL 60018-2206 | |
| (847) 299-4811 | |
| (847) 299-4379 |
| Full Name | Paul Imhof/raymond Jeleniauskas Dds |
|---|---|
| Speciality | Dentist |
| Location | 1645 S River Rd, Des Plaines, Illinois |
| Authorized Official Name and Position | Paul C Imhof (PRESIDENT) |
| Authorized Official Contact | 8472994811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Imhof/raymond Jeleniauskas Dds 1645 S River Rd Des Plaines IL 60018-2206 Ph: (847) 299-4811 | Paul Imhof/raymond Jeleniauskas Dds 1645 S River Rd Des Plaines IL 60018-2206 Ph: (847) 299-4811 |
| NPI Number | 1629202791 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 05/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629202791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019-015281 (Illinois) | Primary |
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