ELLEN E TKACH, D.D.S., P.C.

EVANSTON, IL
NPI1700212040
Entity TypeOrganization
Authorized ContactELLEN E TKACH
CEO/President
847-431-4416
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019021157)
Enumeration Date2013-09-18
Last Update Date2013-09-18
Business Address
ELLEN E TKACH, D.D.S., P.C.
1029 HOWARD ST STE 201
EVANSTON, IL 60202-3877
Phone number: 847-431-4416
Mailing Address
ELLEN E TKACH, D.D.S., P.C.
1029 HOWARD ST STE 201
EVANSTON, IL 60202-3877
Phone number: 847-431-4416
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