| Uday Phatak D.d.s. P.c. | |
| 
					642a N Milwaukee Ave Prospect Heights IL 60070-2353  | |
| (847) 541-0008 | |
| (847) 541-0009 | 
| Full Name | Uday Phatak D.d.s. P.c. | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 642a N Milwaukee Ave, Prospect Heights, Illinois | 
| Authorized Official Name and Position | Uday Phatak (PRESIDENT) | 
| Authorized Official Contact | 8475410008 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Uday Phatak D.d.s. P.c. 642a N Milwaukee Ave Prospect Heights IL 60070-2353 Ph: (847) 541-0008  | Uday Phatak D.d.s. P.c. 642a N Milwaukee Ave Prospect Heights IL 60070-2353 Ph: (847) 541-0008  | 
| NPI Number | 1457688897 | 
|---|---|
| Provider Enumeration Date | 11/05/2009 | 
| Last Update Date | 11/05/2009 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457688897 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019018029 (Illinois) | Primary | 
Prospect Heights Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 846 N Elmhurst Rd, Prospect Heights, IL 60070 Phone: 847-229-7988 Fax: 847-229-1985  | |
O Semeny Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 E Camp Mcdonald Rd, Prospect Heights, IL 60070 Phone: 847-818-9250 Fax: 847-818-9239  |