| Nathan Braverman Dmd Md Pc | |
|
1770 First St. 350 Highland Park IL 60035-3200 | |
| (847) 433-1516 | |
| (847) 433-1548 |
| Full Name | Nathan Braverman Dmd Md Pc |
|---|---|
| Speciality | Dentist |
| Location | 1770 First St., Highland Park, Illinois |
| Authorized Official Name and Position | Nathan Alan Braverman (PRESIDENT/OWNER) |
| Authorized Official Contact | 8474331516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Braverman Dmd Md Pc 1770 1st St Suite 350 Highland Park IL 60035-3200 Ph: (847) 433-1516 | Nathan Braverman Dmd Md Pc 1770 First St. 350 Highland Park IL 60035-3200 Ph: (847) 433-1516 |
| NPI Number | 1861647588 |
|---|---|
| Provider Enumeration Date | 11/21/2008 |
| Last Update Date | 11/21/2008 |
| Medicare PECOS PAC ID | 8224286687 |
|---|---|
| Medicare Enrollment ID | O20120911000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861647588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019023544 (Illinois) | Primary |
| Provider Name | Nathan A Braverman |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1205945425 PECOS PAC ID: 7719135177 Enrollment ID: I20120911000774 |
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