| |
7000 Adams Street 140 Willowbrook IL 60527 | |
(630) 887-1987 | |
(630) 887-1963 |
Full Name | |
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Speciality | Dentist |
Location | 7000 Adams Street, Willowbrook, Illinois |
Authorized Official Name and Position | William C Walters (DENTIST) |
Authorized Official Contact | 6308871987 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7000 Adams Street 140 Willowbrook IL 60527 Ph: (630) 887-1987 | 7000 Adams Street 140 Willowbrook IL 60527 Ph: (630) 887-1987 |
NPI Number | 1437261922 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437261922 | NPI | - | NPPES |
1004128 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Illinois) | Primary |
Isaac Yue, Dmd, Ms, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 S Adams St, Suite 150, Willowbrook, IL 60527 Phone: 630-323-7906 Fax: 630-323-7938 | |
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