Ronnie Ata Consulting | |
12601 Western Ave Ste B Blue Island IL 60406-1777 | |
(708) 293-1903 | |
(708) 293-1909 |
Full Name | Ronnie Ata Consulting |
---|---|
Speciality | Dentist |
Location | 12601 Western Ave Ste B, Blue Island, Illinois |
Authorized Official Name and Position | Ronnie Ata (OWNER) |
Authorized Official Contact | 6303402950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ronnie Ata Consulting 12601 Western Ave Ste B Blue Island IL 60406-1777 Ph: (708) 293-1903 | Ronnie Ata Consulting 12601 Western Ave Ste B Blue Island IL 60406-1777 Ph: (708) 293-1903 |
NPI Number | 1285219204 |
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Provider Enumeration Date | 03/11/2021 |
Last Update Date | 03/11/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285219204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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