Nwdg Niles Llc

NPI 1093089690 - Dentist - 1223G0001X

NPI Details
NPI 1093089690
Enumeration Date 02/28/2012
Last Updated 02/28/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LAWRENCE LAWRENCE
Position SOLE MEMBER
Phone (847) 423-2488
Fax (847) 423-2492
Practice Location
7886 N MILWAUKEE AVE
NILES IL, 60714-3145, US
Phone (847) 423-2488
Fax (847) 423-2492
Business Location
7886 N MILWAUKEE AVE
NILES IL, 60714-3145, US
Phone (847) 423-2488
Fax (847) 423-2492
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019020600
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According to our database, Nwdg Niles Llc NPI is 1093089690, taxonomy code is 1223G0001X and license number is 019020600, license state is located at Illinois. Nwdg Niles Llc physically located at 7886 N Milwaukee Ave, Niles IL, 60714-3145. NPI Number 1033115704 has the healthcare provider type.

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1093089690 NPI number is provided on an as is basis without warranty of any kind. 1093089690 is maintained by the National Plan & Provider Enumeration System. The contents of Nwdg Niles Llc are for informational purposes only.