| Tinley Park Orthodontic Associates | |
|
15234 S Harlem Ave Orland Park IL 60462-4330 | |
| (708) 614-9420 | |
| Not Available |
| Full Name | Tinley Park Orthodontic Associates |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 15234 S Harlem Ave, Orland Park, Illinois |
| Authorized Official Name and Position | Douglas Prince (OWNER) |
| Authorized Official Contact | 7086149420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tinley Park Orthodontic Associates 15234 Harlem Orland Park IL 60462 Ph: () - | Tinley Park Orthodontic Associates 15234 S Harlem Ave Orland Park IL 60462-4330 Ph: (708) 614-9420 |
| NPI Number | 1861601619 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861601619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Primary |
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