| Becker Boris P Dds Pc | |
|
214 Randall Rd South Elgin IL 60177-2274 | |
| (847) 622-0400 | |
| (847) 622-7818 |
| Full Name | Becker Boris P Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 214 Randall Rd, South Elgin, Illinois |
| Authorized Official Name and Position | Boris Becker (OWNER) |
| Authorized Official Contact | 8476220400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Becker Boris P Dds Pc 214 Randall Rd South Elgin IL 60177-2274 Ph: (847) 622-0400 | Becker Boris P Dds Pc 214 Randall Rd South Elgin IL 60177-2274 Ph: (847) 622-0400 |
| NPI Number | 1821253931 |
|---|---|
| Provider Enumeration Date | 07/29/2008 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821253931 | NPI | - | NPPES |
| 1004729 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019025213 (Illinois) | Primary |
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