Organization
LLCDENTAL,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN DALE MIMMS M.S. (MANAGER)
(708) 747-2273
Entity
Organization
Contact information
Practice address
3494 VOLLMER RD, OLYMPIA FIELDS, IL 60461-1018
(708) 747-2273
(708) 747-2238
Mailing address
3494 VOLLMER RD, OLYMPIA FIELDS, IL 60461-1018
(708) 747-2273
(708) 747-2238
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020348
IL
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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