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Contact Information

ENDODONTIC ASSOCIATES OF ILLINOIS, PC
443 SUMMIT AVE
1S SUITE 306
OAKBROOK TERRACE, IL60181
 Phone: 630-729-4544
 Fax: 630-756-0281
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ENDODONTIC ASSOCIATES OF ILLINOIS PC · (Female)

NPI Number 1912251372
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2012
Last updated 11/06/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 021002118
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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