| Rajiv Puri Pc | |
|
849 S Route 59 Bartlett IL 60103 | |
| (630) 372-9800 | |
| Not Available |
| Full Name | Rajiv Puri Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 849 S Route 59, Bartlett, Illinois |
| Authorized Official Name and Position | Rajiv Puri (DENTIST) |
| Authorized Official Contact | 6306161020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rajiv Puri Pc 849 S Route 59 Bartlett IL 60103 Ph: (630) 372-9800 | Rajiv Puri Pc 849 S Route 59 Bartlett IL 60103 Ph: (630) 372-9800 |
| NPI Number | 1356786743 |
|---|---|
| Provider Enumeration Date | 04/30/2013 |
| Last Update Date | 04/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356786743 | NPI | - | NPPES |
| 1750428009 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19026692 (Illinois) | Primary |
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