| Esam Jumani D.d.s.,p.c. | |
|
17500 E Carriageway Dr Suite B Hazel Crest IL 60429-2057 | |
| (708) 799-1300 | |
| Not Available |
| Full Name | Esam Jumani D.d.s.,p.c. |
|---|---|
| Speciality | Dentist |
| Location | 17500 E Carriageway Dr, Hazel Crest, Illinois |
| Authorized Official Name and Position | Esam Jumani (PRESIDENT) |
| Authorized Official Contact | 9175441626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esam Jumani D.d.s.,p.c. 17500 E Carriageway Dr Suite B Hazel Crest IL 60429-2057 Ph: (708) 799-1300 | Esam Jumani D.d.s.,p.c. 17500 E Carriageway Dr Suite B Hazel Crest IL 60429-2057 Ph: (708) 799-1300 |
| NPI Number | 1184008930 |
|---|---|
| Provider Enumeration Date | 07/10/2015 |
| Last Update Date | 07/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184008930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.029987 (Illinois) | Primary |
Dixon Dental Studio Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400b W 183rd Street, Hazel Crest, IL 60429 Phone: 708-957-0690 Fax: 708-957-3581 |