| Ronnie Ata Consulting | |
|
12601 Western Ave Ste B Blue Island IL 60406-1777 | |
| (708) 293-1903 | |
| (708) 293-1909 |
| Full Name | Ronnie Ata Consulting |
|---|---|
| Speciality | Dentist |
| Location | 12601 Western Ave Ste B, Blue Island, Illinois |
| Authorized Official Name and Position | Ronnie Ata (OWNER) |
| Authorized Official Contact | 6303402950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronnie Ata Consulting 12601 Western Ave Ste B Blue Island IL 60406-1777 Ph: (708) 293-1903 | Ronnie Ata Consulting 12601 Western Ave Ste B Blue Island IL 60406-1777 Ph: (708) 293-1903 |
| NPI Number | 1285219204 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285219204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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