| Glamour Dental South Chicago Heights Llc | |
|
3330 Chicago Rd South Chicago Heights IL 60411-5423 | |
| (708) 248-5108 | |
| Not Available |
| Full Name | Glamour Dental South Chicago Heights Llc |
|---|---|
| Speciality | Dentist |
| Location | 3330 Chicago Rd, South Chicago Heights, Illinois |
| Authorized Official Name and Position | Inchun Yang (OWNER) |
| Authorized Official Contact | 2243922403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glamour Dental South Chicago Heights Llc 1541 Market St Des Plaines IL 60016-4608 Ph: () - | Glamour Dental South Chicago Heights Llc 3330 Chicago Rd South Chicago Heights IL 60411-5423 Ph: (708) 248-5108 |
| NPI Number | 1649697806 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 03/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649697806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019025360 (Illinois) | Primary |