| West Chicago Dental Care, Ltd | |
|
166 W Washington St West Chicago IL 60185-2803 | |
| (630) 520-9030 | |
| (630) 520-9033 |
| Full Name | West Chicago Dental Care, Ltd |
|---|---|
| Speciality | Dentist |
| Location | 166 W Washington St, West Chicago, Illinois |
| Authorized Official Name and Position | Joseph J Fornal (OWENER) |
| Authorized Official Contact | 6305209030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Chicago Dental Care, Ltd Po Box 1078 West Chicago IL 60186-1078 Ph: (630) 520-9030 | West Chicago Dental Care, Ltd 166 W Washington St West Chicago IL 60185-2803 Ph: (630) 520-9030 |
| NPI Number | 1750591723 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750591723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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