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NPI Code Detail

MEDICARE: DR. ELIZABETH VINOKUR D.D.S.

MEDICARE:  DR. ELIZABETH  VINOKUR  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryIL

General Provider Information

NPI Number : 1013105360
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH VINOKUR D.D.S.
Provider Business Mailing Address
First Line : 3421 N ARLINGTON HEIGHTS RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1536
Country : US
Telephone Number : 847-870-8411
Fax Number : 847-870-8412
Provider Business Practice Location Address
First Line : 3421 N ARLINGTON HEIGHTS RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1536
Country : US
Telephone Number : 847-870-8411
Fax Number : 847-870-8412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2007
Last Update Date : 10/11/2007

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Directions to “ DR. ELIZABETH VINOKUR D.D.S.” Practice Location

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