Organization
ENDODONTIC ASSOCIATES OF PARK RIDGE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND ALAN POLLINA (PRESIDENT)
(847) 823-4161
Entity
Organization
Contact information
Practice address
111 S WASHINGTON, #202, PARK RIDGE, IL 60068
(847) 823-4161
(847) 823-4163
Mailing address
111 S WASHINGTON, #202, PARK RIDGE, IL 60068
(847) 823-4161
(847) 823-4163
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
19A14137
IL
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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