Ellen E. Tkach, Dds, P.c.

NPI #1336540863 in Mundelein, Illinois

Provider Information

NPI Number: 1336540863
Entity Type: Organization
Organization Name: Ellen E. Tkach, Dds, P.c.
Primary Specialty: Dentist
Enumeration Date: Sep 16, 2014
Last Updated: Sep 16, 2014

Practice Location

Address: 1464 TOWNLINE RD
City: Mundelein
State: Illinois
ZIP Code: 60060-4433
Phone: (847) 566-7850

Authorized Official

Name: DR. ELLEN E TKACH, DDS
Title: DENTIST
Phone: (847) 431-4416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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