Organization
ACDI ORLAND PARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZUZANA VITKOVA (CHIEF FINANCIAL OFFICER)
(630) 586-9483
Entity
Organization
Contact information
Practice address
9641 W 153RD ST, SUITE #41, ORLAND PARK, IL 60462-3775
(708) 873-9709
(708) 873-1388
Mailing address
9641 W 153RD ST, SUITE #41, ORLAND PARK, IL 60462-3775
(708) 873-9709
(708) 873-1388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.027793
IL
1223G0001X
General Practice Dentistry
019013583
IL
1223G0001X
General Practice Dentistry
019027311
IL
Other
Enumeration date
05/06/2008
Last updated
08/07/2009
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