Dental Professionals of Illinois, P.c.

NPI #1013695915 in Mchenry, Illinois

Provider Information

NPI Number: 1013695915
Entity Type: Organization
Organization Name: Dental Professionals of Illinois, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 10, 2023
Last Updated: Jul 10, 2023

Practice Location

Address: 3617 MUNICIPAL DR
City: Mchenry
State: Illinois
ZIP Code: 60050-5434
Phone: (815) 344-2282

Authorized Official

Name: CEMYIRA MCDOUGAL
Title: CREDENTIALING COORDINATOR
Phone: (217) 764-8609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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