Organization
MILTON GEIVELIS DDS MS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORELEI KARZEN LOCH (OFFICE MANAGER)
(630) 945-6122
Entity
Organization
Contact information
Practice address
106 W BARTLETT AVE, BARTLETT, IL 60103-7880
(630) 830-4930
(630) 830-4953
Mailing address
106 W BARTLETT AVE, BARTLETT, IL 60103-7880
(630) 830-4930
(630) 830-4953
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
210015201
IL
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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