Organization
LEGEND DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN E SHLIMON D.D.S. (PRESIDENT)
(773) 762-8300
Entity
Organization
Contact information
Practice address
5400 N MILWAUKEE AVE, CHICAGO, IL 60630-1272
(773) 762-8300
(773) 696-9110
Mailing address
1815 BALMORAL CT, GLENDALE HEIGHTS, IL 60139-1307
(312) 388-2526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028272
IL
Other
Enumeration date
04/10/2012
Last updated
07/21/2014
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