Organization
MCGONIGLE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT STEVEN MCGONIGLE DDS (VICE PRESIDENT)
(708) 429-2111
Entity
Organization
Contact information
Practice address
17519 80TH AVE, TINLEY PARK, IL 60477
(708) 429-2111
(708) 429-1616
Mailing address
17519 80TH AVE, TINLEY PARK, IL 60477
(708) 429-2111
(708) 429-1616
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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