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Organization
PERIODONITCS OF ELGIN, LTD
Active
Organization
PERIODONITCS OF ELGIN, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK A MAGGIO DDS (PRESIDENT)
(847) 697-4646
Entity
Organization
Contact information
Practice address
2000 LARKIN AVE STE 306, ELGIN, IL 60123-5880
(847) 697-4646
(847) 697-8364
Mailing address
2000 LARKIN AVE STE 306, ELGIN, IL 60123-5880
(847) 697-4646
(847) 697-8364
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
21000876
IL
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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