| Suburban Dental Sleep Medicine Llc | |
|
500 N Mclean Blvd Ste 102 Elgin IL 60123-3275 | |
| (847) 854-3031 | |
| (224) 227-6906 |
| Full Name | Suburban Dental Sleep Medicine Llc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 500 N Mclean Blvd Ste 102, Elgin, Illinois |
| Authorized Official Name and Position | Rubina Nguyen (OWNER) |
| Authorized Official Contact | 8478540525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Dental Sleep Medicine Llc 500 N Mclean Blvd Ste 102 Elgin IL 60123-3275 Ph: (847) 854-3031 | Suburban Dental Sleep Medicine Llc 500 N Mclean Blvd Ste 102 Elgin IL 60123-3275 Ph: (847) 854-3031 |
| NPI Number | 1386016731 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5294039558 |
|---|---|
| Medicare Enrollment ID | O20160205001857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386016731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.025559 (Illinois) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
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