Organization
NORTHWEST COMMUNITY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL B ZENN (EXECUTIVE VICE PRESIDENT)
(847) 618-5017
Entity
Organization
Contact information
Practice address
3060 W SALT CREEK LN, ARLINGTON HEIGHTS, IL 60005-5026
(847) 618-1000
(847) 618-5009
Mailing address
3060 W SALT CREEK LN, ARLINGTON HEIGHTS, IL 60005-5026
(847) 618-1000
(847) 618-5009
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186526
DORAL DENTAL
IL
Enumeration date
03/19/2008
Last updated
03/19/2008
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