| Vdc Cicero Corp | |
|
3320 S Cicero Ave Cicero IL 60804-4531 | |
| (917) 544-1626 | |
| Not Available |
| Full Name | Vdc Cicero Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3320 S Cicero Ave, Cicero, Illinois |
| Authorized Official Name and Position | Esam Jumani (OWNER) |
| Authorized Official Contact | 9175441626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vdc Cicero Corp 3320 S Cicero Ave Cicero IL 60804-4531 Ph: (917) 544-1626 | Vdc Cicero Corp 3320 S Cicero Ave Cicero IL 60804-4531 Ph: (917) 544-1626 |
| NPI Number | 1467920686 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 11/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467920686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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