| River Grove Dental Associates Llc | |
| 
					8225 Grand Ave River Grove IL 60171-1517  | |
| (708) 453-1110 | |
| Not Available | 
| Full Name | River Grove Dental Associates Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 8225 Grand Ave, River Grove, Illinois | 
| Authorized Official Name and Position | Frank Siracusa (MEMBER/ OWNER) | 
| Authorized Official Contact | 7084531110 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| River Grove Dental Associates Llc 8225 Grand Ave River Grove IL 60171-1517 Ph: (708) 453-1110  | River Grove Dental Associates Llc 8225 Grand Ave River Grove IL 60171-1517 Ph: (708) 453-1110  | 
| NPI Number | 1093027658 | 
|---|---|
| Provider Enumeration Date | 07/11/2010 | 
| Last Update Date | 07/11/2010 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093027658 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019021920 (Illinois) | Primary | 
John A. Marsala D.d.s. ; Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8225 Grand Ave, River Grove, IL 60171 Phone: 630-310-4897  | |
Lawrence T Jacobs Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8235 Grand Ave, River Grove, IL 60171 Phone: 708-453-0250  | |
Thtacher Woods Associates Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8383 W Belmont Ave, Suite 200, River Grove, IL 60171 Phone: 708-453-1110 Fax: 708-452-0157  |