| Illinois Dental Providers (harlem & North), Ltd. | |
|
7235 Madison St Forest Park IL 60130-1764 | |
| (708) 405-9344 | |
| (216) 584-1016 |
| Full Name | Illinois Dental Providers (harlem & North), Ltd. |
|---|---|
| Speciality | Dentist |
| Location | 7235 Madison St, Forest Park, Illinois |
| Authorized Official Name and Position | Rachel Nittinger (MANAGER CREDENTIALING) |
| Authorized Official Contact | 9727550816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Dental Providers (harlem & North), Ltd. 7160 Dallas Pkwy Ste 400 Plano TX 75024-7111 Ph: (972) 755-0816 | Illinois Dental Providers (harlem & North), Ltd. 7235 Madison St Forest Park IL 60130-1764 Ph: (708) 405-9344 |
| NPI Number | 1013980705 |
|---|---|
| Provider Enumeration Date | 02/11/2006 |
| Last Update Date | 02/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013980705 | NPI | - | NPPES |
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