| Catholic Charities | |
|
700 N 7th St Suite A Springfield IL 62702-6352 | |
| (217) 523-1474 | |
| (217) 523-0194 |
| Full Name | Catholic Charities |
|---|---|
| Speciality | Dentist |
| Location | 700 N 7th St, Springfield, Illinois |
| Authorized Official Name and Position | Steven E Roach (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2175239201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities 700 N 7th St Suite A Springfield IL 62702-6352 Ph: (217) 523-1474 | Catholic Charities 700 N 7th St Suite A Springfield IL 62702-6352 Ph: (217) 523-1474 |
| NPI Number | 1881864379 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881864379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
| 152W00000X | Optometrist | () | Secondary |
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