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Woodgrove Family Dental Pc
Point of Service in Woodridge, Illinois
NPI 1720432354

Woodgrove Family Dental Pc is a Point of Service based in Woodridge, IL. Woodgrove Family Dental Pc practices in Woodridge, IL. The NPI Number for Woodgrove Family Dental Pc is 1720432354 and holds a License No. 019.028475 (Illinois).

The current practice location address for Woodgrove Family Dental Pc is 1001 W 75Th Street, Woodridge, IL and can be reached out via phone at 630-869-0869 and via fax at 630-869-0860.

Location: 1001 W 75Th Street, Woodridge, IL, 60517-2655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720432354
Provider Name
Woodgrove Family Dental Pc
Credential
Provider Entity Type
Organization
Address
1001 W 75Th Street, Woodridge, IL, 60517-2655
Phone Number
630-869-0869
Fax Number
630-869-0860
Provider Enumeration Date
04/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1001 W 75Th Street
City
Woodridge
State
Illinois
Zip
60517-2655
Phone Number
630-869-0869
Fax Number
630-869-0860
person
Provider Business Mailing Address Details
Address
1001 W 75Th Street
City
Woodridge
State
Illinois
Zip
60517-2655
Phone Number
630-869-0869
Fax Number
630-869-0860
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
019.028475 (Illinois)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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