Organization
PETTY, BIELIK & BURKE ORTHODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYBETH SKINNER (FINANCE/INSURANCE)
(708) 636-2900
Entity
Organization
Contact information
Practice address
4233 W 95TH ST, OAK LAWN, IL 60453-2623
(708) 636-2900
(708) 636-3337
Mailing address
4233 W 95TH ST, OAK LAWN, IL 60453-2623
(708) 636-2900
(708) 636-3337
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060-001172
IL
Other
Enumeration date
10/14/2008
Last updated
10/29/2008
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