| Ronaldo Macam,dmd,pc | |
|
8872 N Milwaukee Ave Niles IL 60714-1752 | |
| (847) 298-9676 | |
| Not Available |
| Full Name | Ronaldo Macam,dmd,pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8872 N Milwaukee Ave, Niles, Illinois |
| Authorized Official Name and Position | Ronaldo Montemayor Macam (PRESIDENT) |
| Authorized Official Contact | 8472989676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronaldo Macam,dmd,pc 8872 N Milwaukee Ave Niles IL 60714-1752 Ph: (847) 298-9676 | Ronaldo Macam,dmd,pc 8872 N Milwaukee Ave Niles IL 60714-1752 Ph: (847) 298-9676 |
| NPI Number | 1518207893 |
|---|---|
| Provider Enumeration Date | 02/22/2013 |
| Last Update Date | 02/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518207893 | NPI | - | NPPES |
| 1144431453 | Other | IL | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019-023795 (Illinois) | Primary |
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