| Towerstationdental | |
|
956 N Neltnor Blvd Suite 316 West Chicago IL 60185-5982 | |
| (630) 293-7777 | |
| (630) 293-7773 |
| Full Name | Towerstationdental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 956 N Neltnor Blvd, West Chicago, Illinois |
| Authorized Official Name and Position | Ajitha Paruchuri (DENTIST) |
| Authorized Official Contact | 6302937777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Towerstationdental 956 N Neltnor Blvd Suite 316 West Chicago IL 60185-5982 Ph: (630) 293-7777 | Towerstationdental 956 N Neltnor Blvd Suite 316 West Chicago IL 60185-5982 Ph: (630) 293-7777 |
| NPI Number | 1346355856 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346355856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019026362 (Illinois) | Primary |
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