| Wayne M Mrjenovich Dds Pc | |
|
19111 Burnham Ave Lansing IL 60438 | |
| (708) 895-0500 | |
| (708) 895-7700 |
| Full Name | Wayne M Mrjenovich Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19111 Burnham Ave, Lansing, Illinois |
| Authorized Official Name and Position | Wayne Michael Mrjenovich (PRESIDENT) |
| Authorized Official Contact | 7088950500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne M Mrjenovich Dds Pc 19111 Burnham Ave Lansing IL 60438 Ph: (708) 895-0500 | Wayne M Mrjenovich Dds Pc 19111 Burnham Ave Lansing IL 60438 Ph: (708) 895-0500 |
| NPI Number | 1013076348 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013076348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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