25 EAST DENTAL LLC

CHICAGO, IL
NPI1225583776
Entity TypeOrganization
Authorized ContactALAN J ACIERNO
Manager
630-339-3172
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: IL  019018378)
Enumeration Date2016-08-24
Last Update Date2016-08-24
Business Address
25 EAST DENTAL LLC
25 E WASHINGTON ST SUITE 1115
CHICAGO, IL 60602-1708
Phone number: 630-339-3172
Mailing Address
25 EAST DENTAL LLC
129 S ROSELLE RD SUITE 102
SCHAUMBURG, IL 60193-5540
Phone number: 630-339-3172