Shachat Dental Group Pllc | |
212 W Van Buren St # F6 Chicago IL 60607-3909 | |
(009) 631-2441 | |
Not Available |
Full Name | Shachat Dental Group Pllc |
---|---|
Speciality | Dentist |
Location | 212 W Van Buren St # F6, Chicago, Illinois |
Authorized Official Name and Position | Matthew Shachat (FOUNDER) |
Authorized Official Contact | 5104147135 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shachat Dental Group Pllc 3833 N Broadway St Apt 512 Chicago IL 60613-5673 Ph: () - | Shachat Dental Group Pllc 212 W Van Buren St # F6 Chicago IL 60607-3909 Ph: (009) 631-2441 |
NPI Number | 1003598210 |
---|---|
Provider Enumeration Date | 08/07/2023 |
Last Update Date | 08/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003598210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
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