Organization
MOBILE MEDICAL AND DENTAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CREVIER M.D. (PRESIDENT)
(708) 250-6175
Entity
Organization
Contact information
Practice address
9716 S LONGWOOD DR, CHICAGO, IL 60643-1610
(708) 250-6175
Mailing address
9716 S LONGWOOD DR, CHICAGO, IL 60643-1610
(708) 250-6175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.021712
IL
207Q00000X
Family Medicine Physician
036.074856
IL
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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