institution
Glen Ellyn Orthodontics, Pc
Dental Clinic/Center in Glen Ellyn, Illinois
NPI 1063954477

Glen Ellyn Orthodontics, Pc is a Dental Clinic/Center based in Glen Ellyn, IL and is specialized in Dental. Glen Ellyn Orthodontics, Pc practices in Glen Ellyn, IL. The NPI Number for Glen Ellyn Orthodontics, Pc is 1063954477 and holds a License No. 021.002325 (Illinois).

The current practice location address for Glen Ellyn Orthodontics, Pc is 45 S Park Blvd, Glen Ellyn, IL and can be reached out via phone at 630-469-6200 and via fax at 630-469-6203.

Location: 45 S Park Blvd, Glen Ellyn, IL, 60137-6280
institution
Provider Profile Details
NPI Number
1063954477
Provider Name
Glen Ellyn Orthodontics, Pc
Credential
Provider Entity Type
Organization
Address
45 S Park Blvd, Glen Ellyn, IL, 60137-6280
Phone Number
630-469-6200
Fax Number
630-469-6203
Provider Enumeration Date
11/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
45 S Park Blvd
City
State
Zip
60137-6280
Phone Number
630-469-6200
Fax Number
630-469-6203
person
Provider Business Mailing Address Details
Address
45 S Park Blvd
City
State
Zip
60137-6280
Phone Number
630-469-6200
Fax Number
630-469-6203
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
021.002325 (Illinois)
Definition
Definition to come...
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