Organization
1ST FAMILY DENTAL OF LA GRANGE PARK, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VESNA BELKIC (CHIEF OPERATING OFFICER)
(773) 340-8318
Entity
Organization
Contact information
Practice address
1103 E 31ST ST, LA GRANGE PARK, IL 60526-1280
(708) 579-5824
Mailing address
4901 N KEDZIE AVE, CHICAGO, IL 60625-5009
(773) 340-8318
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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