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Organization
RAJIV PURI PC
Active
Organization
RAJIV PURI PC
Active
Parent organization
RAJIV PURI PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAJIV PURI PC
Authorized official
DR. RAJIV PURI DDS (DENTIST)
(630) 616-1020
Entity
Organization
Contact information
Practice address
849 S ROUTE 59, BARTLETT, IL 60103
(630) 372-9800
Mailing address
849 S ROUTE 59, BARTLETT, IL 60103
(630) 372-9800
(630) 372-0600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19026692
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750428009
—
IL
Enumeration date
04/30/2013
Last updated
04/30/2013
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