| R.a. Berquist, D.d.s., P.c. | |
|
19710 Governors Hwy Suite #4 Flossmoor IL 60422-2080 | |
| (708) 799-4488 | |
| (708) 799-7956 |
| Full Name | R.a. Berquist, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19710 Governors Hwy, Flossmoor, Illinois |
| Authorized Official Name and Position | Robert Allen Berquist (OWNER/DENTIST) |
| Authorized Official Contact | 7087994488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R.a. Berquist, D.d.s., P.c. 19710 Governors Hwy Suite #4 Flossmoor IL 60422-2080 Ph: (708) 799-4488 | R.a. Berquist, D.d.s., P.c. 19710 Governors Hwy Suite #4 Flossmoor IL 60422-2080 Ph: (708) 799-4488 |
| NPI Number | 1598063885 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 03/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598063885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19-011929 (Illinois) | Primary |
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