| Jeffrey W Chandler Dds Md Pc | |
|
360 W Butterfield Rd Ste 220 Elmhurst IL 60126-5000 | |
| (630) 833-0395 | |
| Not Available |
| Full Name | Jeffrey W Chandler Dds Md Pc |
|---|---|
| Speciality | Dentist |
| Location | 360 W Butterfield Rd Ste 220, Elmhurst, Illinois |
| Authorized Official Name and Position | Jeffrey W. Chandler (PRESIDENT) |
| Authorized Official Contact | 3126365775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey W Chandler Dds Md Pc 360 W Butterfield Rd Ste 220 Elmhurst IL 60126-5000 Ph: (630) 833-0395 | Jeffrey W Chandler Dds Md Pc 360 W Butterfield Rd Ste 220 Elmhurst IL 60126-5000 Ph: (630) 833-0395 |
| NPI Number | 1003092800 |
|---|---|
| Provider Enumeration Date | 01/11/2008 |
| Last Update Date | 02/13/2008 |
| Medicare PECOS PAC ID | 8325121080 |
|---|---|
| Medicare Enrollment ID | O20080219000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003092800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Illinois) | Primary |
| Provider Name | Jeffrey W Chandler |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013064864 PECOS PAC ID: 1658398680 Enrollment ID: I20051028000972 |
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