| Northwest Dentiq Center P.c. | |
|
2401 W. Rt 20 Ste 103 Pingree Grove IL 60140 | |
| (847) 462-4330 | |
| Not Available |
| Full Name | Northwest Dentiq Center P.c. |
|---|---|
| Speciality | Dentist |
| Location | 2401 W. Rt 20, Pingree Grove, Illinois |
| Authorized Official Name and Position | Kalpit Shah (DENTIST) |
| Authorized Official Contact | 8474624330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Dentiq Center P.c. 2401 W. Rt 20 Ste 103 Pingree Grove IL 60140 Ph: (847) 462-4330 | Northwest Dentiq Center P.c. 2401 W. Rt 20 Ste 103 Pingree Grove IL 60140 Ph: (847) 462-4330 |
| NPI Number | 1073900411 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 04/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073900411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019028407 (Illinois) | Primary |
Jigpiyu Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 W Us Highway 20 Ste 103, Pingree Grove, IL 60140 Phone: 847-462-4330 Fax: 847-513-9457 |