| Dr. Jay A Wygodny Dmd, Pc | |
|
2592 E Grand Ave Suite 102 Lindenhurst IL 60046-5915 | |
| (847) 265-4420 | |
| (847) 265-4429 |
| Full Name | Dr. Jay A Wygodny Dmd, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2592 E Grand Ave, Lindenhurst, Illinois |
| Authorized Official Name and Position | Jay A Wygodny (OWNER) |
| Authorized Official Contact | 8472654420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jay A Wygodny Dmd, Pc 2592 E Grand Ave Suite 102 Lindenhurst IL 60046-5915 Ph: (847) 265-4420 | Dr. Jay A Wygodny Dmd, Pc 2592 E Grand Ave Suite 102 Lindenhurst IL 60046-5915 Ph: (847) 265-4420 |
| NPI Number | 1841626793 |
|---|---|
| Provider Enumeration Date | 09/24/2013 |
| Last Update Date | 09/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841626793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019212 (Illinois) | Primary |
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