| Edward R Chavez DDS PC | |
|
200 E Willow Ave Suite 304 Wheaton IL 60187-5463 | |
| (630) 510-0731 | |
| (630) 510-9779 |
| Full Name | Edward R Chavez DDS PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 E Willow Ave, Wheaton, Illinois |
| Authorized Official Name and Position | Edward R Chavez (PRESIDENT) |
| Authorized Official Contact | 6305100731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward R Chavez DDS PC 200 E Willow Ave Suite 304 Wheaton IL 60187-5447 Ph: (630) 510-0731 | Edward R Chavez DDS PC 200 E Willow Ave Suite 304 Wheaton IL 60187-5463 Ph: (630) 510-0731 |
| NPI Number | 1912062969 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 05/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912062969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019017516 (Illinois) | Primary |
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