| Yourthodontist Limited | |
|
1330 Ogden Avenue Downers Grove IL 60515-2772 | |
| (630) 515-2727 | |
| (419) 735-6033 |
| Full Name | Yourthodontist Limited |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1330 Ogden Avenue, Downers Grove, Illinois |
| Authorized Official Name and Position | Meenakshi Balakrishnan (PRESIDENT) |
| Authorized Official Contact | 6305152727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yourthodontist Limited 195 North Harbor Drive #1304 Chicago IL 60601-7528 Ph: (630) 515-2727 | Yourthodontist Limited 1330 Ogden Avenue Downers Grove IL 60515-2772 Ph: (630) 515-2727 |
| NPI Number | 1679788319 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679788319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Primary |
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