Shorewood Family Dental Care Llp | |
607 W Jefferson St Shorewood IL 60404-3701 | |
(815) 725-5991 | |
(815) 725-1983 |
Full Name | Shorewood Family Dental Care Llp |
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Speciality | Dentist - General Practice |
Location | 607 W Jefferson St, Shorewood, Illinois |
Authorized Official Name and Position | Robert S Funk (MAJORITY PARTNER) |
Authorized Official Contact | 8157255991 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shorewood Family Dental Care Llp 607 W Jefferson St Shorewood IL 60404-3701 Ph: (815) 725-5991 | Shorewood Family Dental Care Llp 607 W Jefferson St Shorewood IL 60404-3701 Ph: (815) 725-5991 |
NPI Number | 1033317847 |
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Provider Enumeration Date | 07/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033317847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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