| Town & Country Dental Care, Ltd. | |
|
1144 Lake Street Suite 213 Oak Park IL 60301-1043 | |
| (708) 383-0330 | |
| Not Available |
| Full Name | Town & Country Dental Care, Ltd. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1144 Lake Street, Oak Park, Illinois |
| Authorized Official Name and Position | Thomas Wegner (PRESIDENT/DENTIST) |
| Authorized Official Contact | 7083830330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Town & Country Dental Care, Ltd. 1144 Lake Street Suite 213 Oak Park IL 60301-1043 Ph: (708) 383-0330 | Town & Country Dental Care, Ltd. 1144 Lake Street Suite 213 Oak Park IL 60301-1043 Ph: (708) 383-0330 |
| NPI Number | 1598056780 |
|---|---|
| Provider Enumeration Date | 04/22/2011 |
| Last Update Date | 04/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598056780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019019065 (Illinois) | Primary |
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