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Contact Information

ILLINOIS DENTAL PROVIDERS (HARLEM & NORTH), LTD.
7235 MADISON ST
FOREST PARK, IL60130-1764
 Phone: 708-405-9344
 Fax: 216-584-1016
 Website:
Indicates primary specialty

NPI Profile & details for ILLINOIS DENTAL PROVIDERS HARLEM NORTH LTD · (Female)

NPI # 1013980705
Status Active
Credentials
Entity Individual
Enumeration date 02/11/2006
Last updated 02/08/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 019.022557
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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