Organization
ACDI GLENVIEW,LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZUZANA VITKOVA (FANACIAL OFFICER)
(630) 571-2500
Entity
Organization
Contact information
Practice address
2000 SPRING RD, 600, OAK BROOK, IL 60523-1804
(630) 571-2500
(630) 571-7100
Mailing address
2501 COMPASS RD, 130, GLENVIEW, IL 60026-8000
(847) 730-3726
(847) 730-3734
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019-013583
IL
1223G0001X
General Practice Dentistry
Primary
019-020580
IL
1223G0001X
General Practice Dentistry
019-027311
IL
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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