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NPI Code Detail

MEDICARE: DR. WILLIAM URI WAX DDS

MEDICARE:  DR. WILLIAM URI WAX  DDS
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
1122300000XDentist019011169IL
2122300000XDentist019-011169IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245211200
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM URI WAX DDS
Provider Business Mailing Address
First Line : 7900 N. MILWAUKEE AVE
Second Line : SUITE 2-24
City : NILES
State : IL
Zip : 60714
Country : US
Telephone Number : 847-470-0240
Fax Number : 847-470-2014
Provider Business Practice Location Address
First Line : 7900 N. MILWAUKEE AVE
Second Line : SUITE 2-24
City : NILES
State : IL
Zip : 60714
Country : US
Telephone Number : 847-470-0240
Fax Number : 847-470-2014
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 12/14/2025

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Directions to “ DR. WILLIAM URI WAX DDS” Practice Location

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