Organization
ORAL KARE NETWORK LOC #2 LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLEEN SEVENINO (OFFICE MANAGER)
(708) 656-2441
Entity
Organization
Contact information
Practice address
5907 WEST 35TH ST, CICERO, IL 60804
(708) 656-2441
(708) 656-2515
Mailing address
5907 WEST 35TH ST, CICERO, IL 60804
(708) 656-2441
(708) 656-2515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004943
—
IL
Enumeration date
11/02/2005
Last updated
08/22/2020
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