Individual
MAGDALINA BORISSOVA NIKOLOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2604 PATRIOT BLVD, UNIT B, GLENVIEW, IL 60026-8024
(847) 657-8858
(847) 657-8858
Mailing address
2604 PATRIOT BLVD, UNIT B, GLENVIEW, IL 60026-8024
(708) 334-9968
(847) 657-8818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-026203
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9199867
—
IL
Enumeration date
01/08/2007
Last updated
08/07/2008
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