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NPI Code Detail

MEDICARE: PROVERBS 3 PC

MEDICARE: PROVERBS 3 PC
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 Dentistry019022143IL

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 : 1396734026
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROVERBS 3 PC
Provider Business Mailing Address
First Line : PO BOX 20568
Second Line :
City : CHICAGO
State : IL
Zip : 60620-0568
Country : US
Telephone Number : 773-776-1285
Fax Number : 773-776-3171
Provider Business Practice Location Address
First Line : 2447 W 79TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60652-1734
Country : US
Telephone Number : 773-776-1285
Fax Number : 773-776-3171
Authorized Official
Title or Position : PRESIDENT
Name : DR. PATRICIA JAMES
Credential :
Telephone Number : 773-776-1285
Provider Enumeration Date : 10/15/2005
Last Update Date : 09/06/2013

Similar Medicare Providers

1649344755 — PROVERBS 3 PC
Practice Location Address:
2447 W 79TH ST
CHICAGO, IL
60652-1734
Practice Phone: 773-776-1285
Practice Fax: 773-776-3171
1164597613 — PATRICIA JAMES DDS
Practice Location Address:
2447 WEST 79TH STREET
CHICAGO, IL
60652-1734
Practice Phone: 773-776-1285
Practice Fax: 773-776-3171
1376611046 — DR. NARAIN D SAWLANI M.D.
Practice Location Address:
2441 W 79TH ST
CHICAGO, IL
60652-1734
Practice Phone: 773-776-8900
Practice Fax: 773-776-8600
1316221351 — HELPING HANDS DENTAL SERVICES, NFP
Practice Location Address:
2447 W 79TH STREET
CHICAGO, IL
60652-1734
Practice Phone: 773-776-1285
Practice Fax: 773-776-3171
1649717752 — EGDCLTD
Practice Location Address:
2451 W 79TH ST
CHICAGO, IL
60652-1734
Practice Phone: 312-885-0562
Practice Fax:
1780450643 — MILLENNIUM BEHAVIOR HEALTH SERVICES
Practice Location Address:
2441 W 79TH ST
CHICAGO, IL
60652-1734
Practice Phone: 773-306-2975
Practice Fax: 872-267-7166

Directions to “PROVERBS 3 PC ” Practice Location

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