Organization
SALUD DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIREN PATEL DMD (OWNER)
(224) 577-5742
Entity
Organization
Contact information
Practice address
334 S. NELTNOR BLVD UNIT # G, WEST CHICAGO, IL 60185
(224) 577-5742
Mailing address
334 S. NELTNOR BLVD UNIT # G, WEST CHICAGO, IL 60185
(224) 577-5742
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
019029817
IL
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
019029817
IL
305S00000X
Point of Service
019029817
IL
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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