| Hbp Dental Pc | |
|
440 E Roosevelt Rd Suite 112 West Chicago IL 60185-3918 | |
| (847) 909-0703 | |
| Not Available |
| Full Name | Hbp Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 440 E Roosevelt Rd, West Chicago, Illinois |
| Authorized Official Name and Position | Hetal B Patel (PRESIDENT) |
| Authorized Official Contact | 8479090703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hbp Dental Pc 440 E Roosevelt Rd Suite 112 West Chicago IL 60185-3918 Ph: (847) 909-0703 | Hbp Dental Pc 440 E Roosevelt Rd Suite 112 West Chicago IL 60185-3918 Ph: (847) 909-0703 |
| NPI Number | 1750642609 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 06/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750642609 | NPI | - | NPPES |
| 019027323 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019027323 (Illinois) | Primary |
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