Uday Phatak D.d.s. P.c.

NPI 1457688897 - Clinic/Center - 261QD0000X

NPI Details
NPI 1457688897
Enumeration Date 11/05/2009
Last Updated 11/05/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name UDAY UDAY
Position PRESIDENT
Phone (847) 541-0008
Fax (847) 541-0009
Practice Location
642A N MILWAUKEE AVE
PROSPECT HEIGHTS IL, 60070-2353, US
Phone (847) 541-0008
Fax (847) 541-0009
Business Location
642A N MILWAUKEE AVE
PROSPECT HEIGHTS IL, 60070-2353, US
Phone (847) 541-0008
Fax (847) 541-0009
Toxanomy
Taxonomy Code 261QD0000X
License State Illinois
License Number 019018029
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According to our database, Uday Phatak D.d.s. P.c. NPI is 1457688897, taxonomy code is 261QD0000X and license number is 019018029, license state is located at Illinois. Uday Phatak D.d.s. P.c. physically located at 642a N Milwaukee Ave, Prospect Heights IL, 60070-2353. NPI Number 1033115704 has the healthcare provider type.

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1457688897 NPI number is provided on an as is basis without warranty of any kind. 1457688897 is maintained by the National Plan & Provider Enumeration System. The contents of Uday Phatak D.d.s. P.c. are for informational purposes only.