Individual
DR. NICHOLAS ANTHONY VIDEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1924 HICKORY RD, HOMEWOOD, IL 60430-2239
(708) 798-0444
(708) 798-3358
Mailing address
1924 HICKORY RD, HOMEWOOD, IL 60430-2239
(708) 798-0444
(708) 798-3358
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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