| Ivanhoe Dental Group, Ltd. | |
|
61 W 144th St Riverdale IL 60827-2850 | |
| (708) 849-8627 | |
| (708) 841-5994 |
| Full Name | Ivanhoe Dental Group, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 61 W 144th St, Riverdale, Illinois |
| Authorized Official Name and Position | Leo R. Finley (DENTAL DIRECTOR) |
| Authorized Official Contact | 7088498627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivanhoe Dental Group, Ltd. 61 W 144th St Riverdale IL 60827-2850 Ph: (708) 849-8627 | Ivanhoe Dental Group, Ltd. 61 W 144th St Riverdale IL 60827-2850 Ph: (708) 849-8627 |
| NPI Number | 1104968304 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104968304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 63884111 (Illinois) | Primary |
Salem & Shah Dental Group, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 W 144th St, Riverdale, IL 60827 Phone: 708-849-8627 |