| Periodonitcs Of Elgin, Ltd | |
|
2000 Larkin Ave Ste 306 Elgin IL 60123-5880 | |
| (847) 697-4646 | |
| (847) 697-8364 |
| Full Name | Periodonitcs Of Elgin, Ltd |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2000 Larkin Ave Ste 306, Elgin, Illinois |
| Authorized Official Name and Position | Frank A Maggio (PRESIDENT) |
| Authorized Official Contact | 8476974646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodonitcs Of Elgin, Ltd 2000 Larkin Ave Ste 306 Elgin IL 60123-5880 Ph: (847) 697-4646 | Periodonitcs Of Elgin, Ltd 2000 Larkin Ave Ste 306 Elgin IL 60123-5880 Ph: (847) 697-4646 |
| NPI Number | 1326062951 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326062951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 21000876 (Illinois) | Primary |
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