Dcp of Illinois - Crystal Lake
NPI #1003089251 in Crystal Lake, Illinois
Provider Information
- NPI Number
- 1003089251
- Entity Type
- Organization
- Organization Name
- Dcp of Illinois - Crystal Lake
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 9, 2008
- Last Updated
- Sep 20, 2022
Practice Location
- Address
- 1145 SOUTH ROUTE 31
- Address 2
- SIUTE J
- City
- Crystal Lake
- State
- Illinois
- ZIP Code
- 60039
- Phone
- (815) 477-5399
Authorized Official
- Name
- LAUREN HILL
- Title
- RCM, DIRECTOR
- Phone
- (972) 930-7707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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