| West Loop Dental Associates, Ltd. | |
|
1111 W Madison St Suite 1 Chicago IL 60607-2092 | |
| (312) 666-5166 | |
| Not Available |
| Full Name | West Loop Dental Associates, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1111 W Madison St, Chicago, Illinois |
| Authorized Official Name and Position | Richard J Cooper (OWNER) |
| Authorized Official Contact | 3126665166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Loop Dental Associates, Ltd. 1111 W Madison St Suite 1 Chicago IL 60607-2092 Ph: (312) 666-5166 | West Loop Dental Associates, Ltd. 1111 W Madison St Suite 1 Chicago IL 60607-2092 Ph: (312) 666-5166 |
| NPI Number | 1538203989 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 09/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538203989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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