Organization
PEARL DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAWAZ KANNOUT (DDS)
(630) 240-1984
Entity
Organization
Contact information
Practice address
4527 N PULASKI RD, CHICAGO, IL 60630-4415
(630) 240-1984
Mailing address
4527 N PULASKI RD, CHICAGO, IL 60630-4415
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019024870
IL
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us