| The Chicago Center For Cosmetic And Implant Dentis | |
|
205 W Main Street Barrington IL 60010-3222 | |
| (847) 842-6900 | |
| (847) 842-6966 |
| Full Name | The Chicago Center For Cosmetic And Implant Dentis |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 205 W Main Street, Barrington, Illinois |
| Authorized Official Name and Position | Thomas Francis Jackson (PRESIDENT) |
| Authorized Official Contact | 8478426900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Chicago Center For Cosmetic And Implant Dentis 205 W Main Street Barrington IL 60010-3222 Ph: (847) 842-6900 | The Chicago Center For Cosmetic And Implant Dentis 205 W Main Street Barrington IL 60010-3222 Ph: (847) 842-6900 |
| NPI Number | 1629143649 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629143649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (Illinois) | Primary |
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