Mellovitz, Keith

Mellovitz, Keith is an individual health care provider with primary practice located at 1893 Sheridan Rd Suite 318, Highland Park IL 60035. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Mellovitz, Keith can be contacted via phone (847) 433-9350.

Contact Information

Primary practice address
1893 Sheridan Rd Suite 318 Highland Park IL 60035
Phone: (847) 433-9350
Fax: (847) 433-9355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.017241 Illinois
Dental Providers / Dentist 122300000X A17241 Illinois

Profile Details

NPI number 1205902194
LBN Legal business name Mellovitz, Keith
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Mar 26th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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