Organization
CHICAGO DENTAL SPA, LTD.
Active
Other names
Distinctive Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONRAD MAGNO DDS (PRESIDENT)
(312) 545-8671
Entity
Organization
Contact information
Practice address
106 S RIDGELAND AVE, #408, OAK PARK, IL 60302-4613
(312) 545-8671
Mailing address
106 S RIDGELAND AVE, #408, OAK PARK, IL 60302-4613
(312) 545-8671
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.026625
IL
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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