| Old Orchard Endodontics | |
|
4905 Old Orchard Ctr Ste 216 Skokie IL 60077-4741 | |
| (219) 741-3937 | |
| Not Available |
| Full Name | Old Orchard Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 4905 Old Orchard Ctr Ste 216, Skokie, Illinois |
| Authorized Official Name and Position | Jill Young (OWNER/ENDODONTIST) |
| Authorized Official Contact | 2197413936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Orchard Endodontics 1214 N Wood St Unit 101 Chicago IL 60622-3250 Ph: (219) 741-3937 | Old Orchard Endodontics 4905 Old Orchard Ctr Ste 216 Skokie IL 60077-4741 Ph: (219) 741-3937 |
| NPI Number | 1770126740 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 10/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770126740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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