Ivanhoe Dental Group, LTD.
Organization Active NPI General Practice Dentistry · Riverdale, IL
NPI 1104968304 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104968304
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 63884111 (IL)
- Legal business name
- IVANHOE DENTAL GROUP, LTD.
- Practice address
- 61 W 144TH St
Riverdale, IL 60827-2850 - Phone
- (708) 849-8627
- Fax
- (708) 841-5994
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Leo R. Finley Jr., D.D.S.
- Title
- Dental Director
- Phone
- (708) 849-8627
Practitioners 9
-
Forinna T Chen, DDS
-
Irene Gula, DDS
-
Grace H Lee, DDS
-
Christopher T Nguyen, DMD
-
Crystal R Patel, DDS
-
Kevin L. Patterson, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 63884111 | IL | Yes |
Addresses
Primary practice location
61 W 144TH St
Riverdale, IL 60827-2850
Mailing address
61 W 144TH St
Riverdale, IL 60827-2850
Phone (708) 849-8627
Other providers in Riverdale, IL
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- Karen Sue Hill
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- Ellen Kimberly Jackson
- Tiffany Lavera Jones-Evans
- Fade Khaleq
- KLR Transport LLC
- Grace H Lee
All providers in Riverdale, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.