| Peter M. Jurkash, D.d.s.,p.c. | |
|
15475 S Park Ave Suite 101 South Holland IL 60473-1328 | |
| (708) 596-9400 | |
| Not Available |
| Full Name | Peter M. Jurkash, D.d.s.,p.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15475 S Park Ave, South Holland, Illinois |
| Authorized Official Name and Position | Peter M Jurkash (PRESIDENT) |
| Authorized Official Contact | 7085969400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter M. Jurkash, D.d.s.,p.c. Po Box 07218 Fort Myers FL 33919-0218 Ph: (708) 596-9400 | Peter M. Jurkash, D.d.s.,p.c. 15475 S Park Ave Suite 101 South Holland IL 60473-1328 Ph: (708) 596-9400 |
| NPI Number | 1023257433 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 02/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023257433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019017211 (Illinois) | Primary |
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