Robert J. Shanahan D.d.s., Ltd. | |
6686 Joliet Road Indian Head Park IL 60525 | |
(708) 783-1100 | |
(708) 783-1101 |
Full Name | Robert J. Shanahan D.d.s., Ltd. |
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Speciality | Dentist - General Practice |
Location | 6686 Joliet Road, Indian Head Park, Illinois |
Authorized Official Name and Position | Robert J Shanahan (PRESIDENT) |
Authorized Official Contact | 7087831100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert J. Shanahan D.d.s., Ltd. 6686 Joliet Rd Indian Head Park IL 60525 Ph: (708) 783-1100 | Robert J. Shanahan D.d.s., Ltd. 6686 Joliet Road Indian Head Park IL 60525 Ph: (708) 783-1100 |
NPI Number | 1366683898 |
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Provider Enumeration Date | 03/12/2009 |
Last Update Date | 03/12/2009 |
Identifier | Type | State | Issuer |
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1366683898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 19013677 (Illinois) | Primary |