| Rocket Shuttle | |
|
2320 Grand Ave Waukegan IL 60085-3313 | |
| (631) 220-7839 | |
| Not Available |
| Full Name | Rocket Shuttle |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2320 Grand Ave, Waukegan, Illinois |
| Authorized Official Name and Position | Vidhi Kakadia (MANAGER) |
| Authorized Official Contact | 6308001137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocket Shuttle 405 N Wabash Ave Chicago IL 60611-3591 Ph: () - | Rocket Shuttle 2320 Grand Ave Waukegan IL 60085-3313 Ph: (631) 220-7839 |
| NPI Number | 1457850836 |
|---|---|
| Provider Enumeration Date | 02/12/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457850836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19029579 (Illinois) | Primary |
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