| Wendy Shorr Dds | |
|
9933 Lawler Ave Suite 340 Skokie IL 60077-3773 | |
| (847) 673-8883 | |
| (847) 677-3214 |
| Full Name | Wendy Shorr Dds |
|---|---|
| Speciality | Dentist |
| Location | 9933 Lawler Ave, Skokie, Illinois |
| Authorized Official Name and Position | Wendy Ellen Shorr (OWNER) |
| Authorized Official Contact | 8476738883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Shorr Dds 9933 Lawler Ave Suite 340 Skokie IL 60077-3773 Ph: (847) 673-8883 | Wendy Shorr Dds 9933 Lawler Ave Suite 340 Skokie IL 60077-3773 Ph: (847) 673-8883 |
| NPI Number | 1841661931 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 10/23/2015 |
| Medicare PECOS PAC ID | 2466756838 |
|---|---|
| Medicare Enrollment ID | O20160204001271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841661931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019021276 (Illinois) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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