| Pro Dental Il - Chad Wise Pc | |
|
5622 W Touhy Ave Niles IL 60714-4001 | |
| (847) 983-4202 | |
| (847) 983-8403 |
| Full Name | Pro Dental Il - Chad Wise Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5622 W Touhy Ave, Niles, Illinois |
| Authorized Official Name and Position | Simone Wilson-adeleke (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 7327318398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Dental Il - Chad Wise Pc 10 Woodbridge Center Dr Ste 520 Woodbridge NJ 07095-1152 Ph: (732) 731-8398 | Pro Dental Il - Chad Wise Pc 5622 W Touhy Ave Niles IL 60714-4001 Ph: (847) 983-4202 |
| NPI Number | 1861229148 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861229148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Diamond Plus Orthodontics By Bubon Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 241 Golf Mill Ctr Ste 905, Niles, IL 60714 Phone: 847-298-6030 | |
Children's & Adolescent Dentistry, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9101 N Greenwood Ave, Suite 308, Niles, IL 60714 Phone: 847-299-1095 | |
Roger J. Pogorzelski D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6759 N Milwaukee Ave, Niles, IL 60714 Phone: 847-647-2202 | |
Maurice A Netter Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9101 N Greenwood Ave, Suite 305, Niles, IL 60714 Phone: 847-635-1176 | |
Nwdg Niles Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7886 N Milwaukee Ave, Niles, IL 60714 Phone: 847-423-2488 Fax: 847-423-2492 | |
Omdent Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7900 N Milwaukee Ave, Ste 2-21b, Niles, IL 60714 Phone: 847-581-9400 Fax: 847-581-9044 | |
Shaivalkumar Patel Dds P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9052 W Golf Rd, Niles, IL 60714 Phone: 847-297-4815 |