| Stephen Wallace Dds Inc | |
|
310 W Burlington Ave La Grange IL 60525-2363 | |
| (708) 352-2223 | |
| Not Available |
| Full Name | Stephen Wallace Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 310 W Burlington Ave, La Grange, Illinois |
| Authorized Official Name and Position | Stephen Wallace (PRESIDENT) |
| Authorized Official Contact | 7083522223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Wallace Dds Inc 310 W Burlington Ave La Grange IL 60525-2363 Ph: (708) 352-2223 | Stephen Wallace Dds Inc 310 W Burlington Ave La Grange IL 60525-2363 Ph: (708) 352-2223 |
| NPI Number | 1902059678 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902059678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 021252 (Illinois) | Primary |
Carolyn Bronke Wind Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 S La Grange Rd, La Grange, IL 60525 Phone: 708-354-1335 Fax: 708-354-1336 | |
Jessica Mattern Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 326 W Burlington Ave, La Grange, IL 60525 Phone: 480-794-0302 | |
Angela Lebessis Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W 47th St Ste 8, La Grange, IL 60525 Phone: 708-579-1522 | |
Philip J Girgis Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4707 Willow Springs Rd, La Grange, IL 60525 Phone: 708-352-1320 Fax: 708-588-1750 | |
The Dental Loft, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 W Harris Ave, Second Floor, Suite A, La Grange, IL 60525 Phone: 708-482-0702 | |
Meera Mahajan Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4711 Willow Springs Rd, La Grange, IL 60525 Phone: 708-354-1990 Fax: 708-354-3199 | |
Nancy Donna Cozzi, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W 47th St, La Grange, IL 60525 Phone: 708-579-1522 Fax: 708-579-1523 |