| T Marie Pc | |
|
1029 Howard St Evanston IL 60202-3877 | |
| (847) 491-0660 | |
| Not Available |
| Full Name | T Marie Pc |
|---|---|
| Speciality | Dentist |
| Location | 1029 Howard St, Evanston, Illinois |
| Authorized Official Name and Position | Trina Blunt (DENTIST) |
| Authorized Official Contact | 7738277874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T Marie Pc 8100 S Luella Ave Chicago IL 60617-1152 Ph: () - | T Marie Pc 1029 Howard St Evanston IL 60202-3877 Ph: (847) 491-0660 |
| NPI Number | 1447584560 |
|---|---|
| Provider Enumeration Date | 09/22/2009 |
| Last Update Date | 09/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447584560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026504 (Illinois) | Primary |
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