| William Mitsos Dds | |
|
1291 S. 7th Ave Kankakee IL 60901 | |
| (815) 932-0022 | |
| (815) 932-1202 |
| Full Name | William Mitsos Dds |
|---|---|
| Speciality | Dentist |
| Location | 1291 S. 7th Ave, Kankakee, Illinois |
| Authorized Official Name and Position | William Mitsos (OWNER) |
| Authorized Official Contact | 8159320022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William Mitsos Dds 1291 S. 7th Ave Kankakee IL 60901 Ph: (815) 932-0022 | William Mitsos Dds 1291 S. 7th Ave Kankakee IL 60901 Ph: (815) 932-0022 |
| NPI Number | 1558978841 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 09/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558978841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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