| Ligocki Dental Group | |
|
1s224 Summit Ave Ste 104 Oakbrook Terrace IL 60181-3938 | |
| (630) 620-8099 | |
| (630) 620-8474 |
| Full Name | Ligocki Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1s224 Summit Ave Ste 104, Oakbrook Terrace, Illinois |
| Authorized Official Name and Position | Mark a Ligocki (PRESIDENT) |
| Authorized Official Contact | 6306208099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ligocki Dental Group 1s224 Summit Ave Ste 104 Oakbrook Terrace IL 60181-3938 Ph: (630) 620-8099 | Ligocki Dental Group 1s224 Summit Ave Ste 104 Oakbrook Terrace IL 60181-3938 Ph: (630) 620-8099 |
| NPI Number | 1457770893 |
|---|---|
| Provider Enumeration Date | 04/14/2014 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457770893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019021841 (Illinois) | Primary |
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