| Matteson Orthodontics Mdpc | |
|
4440 Lincoln Hwy Ste 300 Matteson IL 60443-3804 | |
| (708) 481-6086 | |
| (708) 481-2525 |
| Full Name | Matteson Orthodontics Mdpc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4440 Lincoln Hwy Ste 300, Matteson, Illinois |
| Authorized Official Name and Position | Keyur A Shah (CEO) |
| Authorized Official Contact | 7084816086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matteson Orthodontics Mdpc 4440 Lincoln Hwy Ste 300 Matteson IL 60443-3804 Ph: (708) 481-6086 | Matteson Orthodontics Mdpc 4440 Lincoln Hwy Ste 300 Matteson IL 60443-3804 Ph: (708) 481-6086 |
| NPI Number | 1295058998 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 03/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295058998 | NPI | - | NPPES |
| 021002232 | Other | IL | ORTHO LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 021002232 (Illinois) | Primary |
Matteson Orthodontics Mdpc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lincoln Hwy, Suite 300, Matteson, IL 60443 Phone: 708-481-6086 Fax: 708-481-2525 | |
Mobile Dental Care Of Illinois Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3716 217th St, Matteson, IL 60443 Phone: 773-329-4450 |