Bilus D Poles DDS

NPI 1003011826 - Dentist - 122300000X

NPI Details
NPI 1003011826
Gender Male
Enumeration Date 06/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1945 W WILSON AVE
CHICAGO IL, 60640-5255, US
Phone (773) 275-8855
Fax
Business Location
9350 GOLF RD APT 2A
DES PLAINES IL, 60016-1656, US
Phone (224) 522-1507
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019.027365
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According to our database, Bilus D Poles DDS NPI is 1003011826, taxonomy code is 122300000X and license number is 019.027365, license state is located at Illinois. Bilus D Poles DDS physically located at 1945 W Wilson Ave, Chicago IL, 60640-5255. NPI Number Bilus D Poles DDS has the Individual type.

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1003011826 NPI number is provided on an as is basis without warranty of any kind. 1003011826 is maintained by the National Plan & Provider Enumeration System. The contents of Bilus D Poles DDS are for informational purposes only.