| Periodontal Medicine And Surgical Specialists, Llc | |
|
1009 W Webster Ave Chicago IL 60614-3502 | |
| (630) 627-3930 | |
| Not Available |
| Full Name | Periodontal Medicine And Surgical Specialists, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1009 W Webster Ave, Chicago, Illinois |
| Authorized Official Name and Position | George Mandelaris (PRESIDENT) |
| Authorized Official Contact | 6306273930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Medicine And Surgical Specialists, Llc 1s224 Summit Ave Suite 205 Oakbrook Terrace IL 60181-3983 Ph: (630) 627-3930 | Periodontal Medicine And Surgical Specialists, Llc 1009 W Webster Ave Chicago IL 60614-3502 Ph: (630) 627-3930 |
| NPI Number | 1386098390 |
|---|---|
| Provider Enumeration Date | 04/15/2016 |
| Last Update Date | 12/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386098390 | NPI | - | NPPES |
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