Uday Phatak D.d.s. P.c. | |
642a N Milwaukee Ave Prospect Heights IL 60070-2353 | |
(847) 541-0008 | |
(847) 541-0009 |
Full Name | Uday Phatak D.d.s. P.c. |
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Speciality | Clinic/center - Dental |
Location | 642a N Milwaukee Ave, Prospect Heights, Illinois |
Authorized Official Name and Position | Uday Phatak (PRESIDENT) |
Authorized Official Contact | 8475410008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Uday Phatak D.d.s. P.c. 642a N Milwaukee Ave Prospect Heights IL 60070-2353 Ph: (847) 541-0008 | Uday Phatak D.d.s. P.c. 642a N Milwaukee Ave Prospect Heights IL 60070-2353 Ph: (847) 541-0008 |
NPI Number | 1457688897 |
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Provider Enumeration Date | 11/05/2009 |
Last Update Date | 11/05/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457688897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 019018029 (Illinois) | Primary |
Prospect Heights Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 846 N Elmhurst Rd, Prospect Heights, IL 60070 Phone: 847-229-7988 Fax: 847-229-1985 | |
O Semeny Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 E Camp Mcdonald Rd, Prospect Heights, IL 60070 Phone: 847-818-9250 Fax: 847-818-9239 |