| Pilsen Dental Group | |
|
1859 S Blue Island Ave Chicago IL 60608-3012 | |
| (131) 266-6556 | |
| Not Available |
| Full Name | Pilsen Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1859 S Blue Island Ave, Chicago, Illinois |
| Authorized Official Name and Position | Chris Tsaliagos (OWNER) |
| Authorized Official Contact | 13126665560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pilsen Dental Group 1859 S Blue Island Ave Chicago IL 60608-3012 Ph: (131) 266-6556 | Pilsen Dental Group 1859 S Blue Island Ave Chicago IL 60608-3012 Ph: (131) 266-6556 |
| NPI Number | 1144456658 |
|---|---|
| Provider Enumeration Date | 06/10/2009 |
| Last Update Date | 06/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144456658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19023116 (Illinois) | Primary |
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