Organization
DRS.BRASKY,FELDNER & ASSOCIATES LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE EDMUND BRASKY DDS (PRESIDENT)
(708) 349-1515
Entity
Organization
Contact information
Practice address
15300 WEST AVE, SUITE 111, ORLAND PARK, IL 60462-4600
(708) 349-1515
(708) 349-1519
Mailing address
15300 WEST AVE, SUITE 111, ORLAND PARK, IL 60462-4600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060-000828
IL
Other
Enumeration date
05/31/2007
Last updated
07/31/2008
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