Richard F. Callahan, Ltd. | |
10 Briarcliff Professional Center Bourbonnais IL 60914-1775 | |
(815) 939-2585 | |
(815) 939-7857 |
Full Name | Richard F. Callahan, Ltd. |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 10 Briarcliff Professional Center, Bourbonnais, Illinois |
Authorized Official Name and Position | Richard F. Callahan (OWNER/PRESIDENT) |
Authorized Official Contact | 8159392585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Richard F. Callahan, Ltd. 10 Briarcliff Professional Center Bourbonnais IL 60914 Ph: (815) 939-2585 | Richard F. Callahan, Ltd. 10 Briarcliff Professional Center Bourbonnais IL 60914-1775 Ph: (815) 939-2585 |
NPI Number | 1104285972 |
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Provider Enumeration Date | 02/22/2016 |
Last Update Date | 02/22/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104285972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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