Unknown Individual – General Practice Dentistry, NPI 1154453652
General Practice Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 157
MATTESON, IL 604430157
Phone: (773) 821-7436
Type: Mailing
11416 S MICHIGAN AVE
CHICAGO, IL 606284932
Phone: (773) 821-7436
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60443)
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