| Therese M. Bogs, D.d.s., Ltd. | |
|
5601 W Monee Manhattan Rd Ste 117 Monee IL 60449-8866 | |
| (708) 534-9700 | |
| (708) 534-9228 |
| Full Name | Therese M. Bogs, D.d.s., Ltd. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5601 W Monee Manhattan Rd Ste 117, Monee, Illinois |
| Authorized Official Name and Position | Therese Marie Bogs (PRESIDENT) |
| Authorized Official Contact | 7085349700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therese M. Bogs, D.d.s., Ltd. 26634 S Winfield Rd Monee IL 60449-9220 Ph: (708) 534-7818 | Therese M. Bogs, D.d.s., Ltd. 5601 W Monee Manhattan Rd Ste 117 Monee IL 60449-8866 Ph: (708) 534-9700 |
| NPI Number | 1013155191 |
|---|---|
| Provider Enumeration Date | 01/28/2009 |
| Last Update Date | 03/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013155191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019-022073 (Illinois) | Primary |