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808 E Woodfield Rd Suite 300 Schaumburg IL 60173-4816 | |
| (847) 517-8330 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 808 E Woodfield Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | Myrna Dejesus (INSURANCE COORDINATOR) |
| Authorized Official Contact | 8475178330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
808 E Woodfield Rd Suite 300 Schaumburg IL 60173-4816 Ph: (847) 517-8330 | 808 E Woodfield Rd Suite 300 Schaumburg IL 60173-4816 Ph: (847) 517-8330 |
| NPI Number | 1023562857 |
|---|---|
| Provider Enumeration Date | 08/10/2016 |
| Last Update Date | 08/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023562857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (Illinois) | Primary |
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