Organization · Type 2 NPI
Therese M. Bogs, D.d.s., Ltd.
Dental Clinic/Center · Monee, IL
NPI number
1013155191
Active
Practice location
5601 W Monee Manhattan Rd Ste 117
Monee, IL 60449-8866
Fax (708) 534-9228
Mailing address
26634 S Winfield Rd
Monee, IL 60449-9220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 019-022073 (IL) |
Dental Clinic/Center: Definition to come...
About NPI 1013155191
Therese M. Bogs, D.d.s., Ltd.'s National Provider Identifier is 1013155191, issued on Jan 28, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Monee, IL. The record was last updated on Mar 27, 2013.