Waukegan Family Family

NPI #1023458502 in Waukegan, Illinois

Provider Information

NPI Number: 1023458502
Entity Type: Organization
Organization Name: Waukegan Family Family
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 28, 2013
Last Updated: Jun 28, 2013

Practice Location

Address: 338 S. GREENBAY RD.
City: Waukegan
State: Illinois
ZIP Code: 60085-4850
Phone: (847) 336-7800

Authorized Official

Name: DR. MICHAEL PAPENDICK, DDS
Title: OWNER
Phone: (847) 336-7800

Specialties & Taxonomy Codes

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

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