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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.

NPI Number 1013980705
LBN Legal business name ILLINOIS DENTAL PROVIDERS (HARLEM & NORTH), LTD.
Authorized official RACHEL NITTINGER - (MANAGER CREDENTIALING)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/11/2006
Last updated 02/08/2018 - About 8 years ago
Identifiers
IL License # 019.022557
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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