| Russell H Gertsch Dds, Pc | |
|
4343 Sauk Trl Richton Park IL 60471-1254 | |
| (708) 748-8181 | |
| (708) 748-6002 |
| Full Name | Russell H Gertsch Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4343 Sauk Trl, Richton Park, Illinois |
| Authorized Official Name and Position | Russell Hayward Gertsch (PRESIDENT) |
| Authorized Official Contact | 7087488181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell H Gertsch Dds, Pc 4343 Sauk Trl Richton Park IL 60471-1254 Ph: (708) 748-8181 | Russell H Gertsch Dds, Pc 4343 Sauk Trl Richton Park IL 60471-1254 Ph: (708) 748-8181 |
| NPI Number | 1740427954 |
|---|---|
| Provider Enumeration Date | 01/09/2009 |
| Last Update Date | 01/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740427954 | NPI | - | NPPES |
| 019-015925 | Other | IL | STATE OF ILLINOIS DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-015925 (Illinois) | Primary |
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