| Albert K. Andrew Ii,dds,pc | |
|
2759 Us Highway 34 Oswego IL 60543-8949 | |
| (630) 554-2873 | |
| (630) 554-4574 |
| Full Name | Albert K. Andrew Ii,dds,pc |
|---|---|
| Speciality | Dentist |
| Location | 2759 Us Highway 34, Oswego, Illinois |
| Authorized Official Name and Position | Albert Kimball Andrew (CEO/OWNER) |
| Authorized Official Contact | 6305542873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albert K. Andrew Ii,dds,pc 2759 Us Highway 34 Oswego IL 60543-8949 Ph: (630) 554-2873 | Albert K. Andrew Ii,dds,pc 2759 Us Highway 34 Oswego IL 60543-8949 Ph: (630) 554-2873 |
| NPI Number | 1457524845 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457524845 | NPI | - | NPPES |
| 1001072 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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