| Paul Willis Dds Elliot Abt Dds Ms Randall Hirsch Dds | |
|
4709 Golf Road Suite 1005 2 Concourse Office Plaza Skokie IL 60076 | |
| (847) 677-2404 | |
| (847) 677-7432 |
| Full Name | Paul Willis Dds Elliot Abt Dds Ms Randall Hirsch Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4709 Golf Road, Skokie, Illinois |
| Authorized Official Name and Position | Elliot Abt (DENTIST PARTNER) |
| Authorized Official Contact | 8471772404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Willis Dds Elliot Abt Dds Ms Randall Hirsch Dds 4709 Golf Road Suite 1005 2 Concourse Office Plaza Skokie IL 60076 Ph: (847) 677-2404 | Paul Willis Dds Elliot Abt Dds Ms Randall Hirsch Dds 4709 Golf Road Suite 1005 2 Concourse Office Plaza Skokie IL 60076 Ph: (847) 677-2404 |
| NPI Number | 1689765679 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689765679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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