ILLINOIS DENTAL PROVIDERS (HARLEM & NORTH), LTD.

FOREST PARK, IL
NPI1013980705
Doing Business AsDENTALWORKS OF FOREST PARK
Entity TypeOrganization
Authorized ContactRACHEL NITTINGER
Manager Credentialing
972-755-0816
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: IL  019.022557)
1223P0221X Dentist, Pediatric Dentistry
1223P0300X Dentist, Periodontics
1223P0700X Dentist, Prosthodontics
1223S0112X Dentist, Oral and Maxillofacial Surgery
1223E0200X Dentist, Endodontics
1223G0001X Dentist, General Practice
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Enumeration Date2006-02-11
Last Update Date2018-02-08
Business Address
ILLINOIS DENTAL PROVIDERS (HARLEM & NORTH), LTD.
7235 MADISON ST
FOREST PARK, IL 60130-1764
Phone number: 708-405-9344
Mailing Address
ILLINOIS DENTAL PROVIDERS (HARLEM & NORTH), LTD.
7160 DALLAS PKWY STE 400
PLANO, TX 75024-7111
Phone number: 972-755-0816