| Daniel T Bodine Dds Pc | |
|
11130 South Harlem Ave Worth IL 60482 | |
| (708) 448-6760 | |
| (708) 448-8869 |
| Full Name | Daniel T Bodine Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 11130 South Harlem Ave, Worth, Illinois |
| Authorized Official Name and Position | Daniel Thomas Bodine (PRESIDENT) |
| Authorized Official Contact | 7084486760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel T Bodine Dds Pc 11130 South Harlem Ave Worth IL 60482 Ph: (708) 448-6760 | Daniel T Bodine Dds Pc 11130 South Harlem Ave Worth IL 60482 Ph: (708) 448-6760 |
| NPI Number | 1164500534 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164500534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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