| Ronald C. Hartzer D.d.s.,m.s., Periodontics, Ltd. | |
|
609 W Greenwood Ave Waukegan IL 60087-5000 | |
| (847) 244-9000 | |
| (847) 244-0009 |
| Full Name | Ronald C. Hartzer D.d.s.,m.s., Periodontics, Ltd. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 609 W Greenwood Ave, Waukegan, Illinois |
| Authorized Official Name and Position | Ronald C. Hartzer (PRESIDENT) |
| Authorized Official Contact | 8472449000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald C. Hartzer D.d.s.,m.s., Periodontics, Ltd. 609 W Greenwood Ave Waukegan IL 60087-5000 Ph: (847) 244-9000 | Ronald C. Hartzer D.d.s.,m.s., Periodontics, Ltd. 609 W Greenwood Ave Waukegan IL 60087-5000 Ph: (847) 244-9000 |
| NPI Number | 1770742389 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770742389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019013133 (Illinois) | Primary |
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