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
1	1223G0001X	General Practice Dentistry		IL

Other Identifiers

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

General Provider Information

NPI Number	:	1649344755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROVERBS 3 PC

Provider Business Mailing 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

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	:	OWNER
Name	:	DR. PATRICIA JAMES
Credential	:	DDS
Telephone Number	:	773-776-1285

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1396734026 — 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
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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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