NPI 1114754314

Mediprodental INC

Organisation Dental Clinic/Center Wheeling, IL

Practice location

Address: 109 N Milwaukee Ave Fl 2, Wheeling, IL 60090-3013
Phone: (929) 340-9390
Mailing address: 752 Sigmund Rd, Naperville, IL 60563-1338

Authorised official

Name: Yoosuk Ko
Title: General Dentist
Phone: (929) 340-9390

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Illinois →

Registry record

NPI: 1114754314
Entity type: Organization
NPI issued: 19 Sep 2024
Record last updated: 19 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.