Dental Professionals of Illinois, P.c.
NPI #1043609167 in Mokena, Illinois
Provider Information
- NPI Number
- 1043609167
- 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
- Jan 13, 2015
- Last Updated
- Jan 13, 2015
Practice Location
Authorized Official
- Name
- KIM WILSON
- Title
- CRED SUPERIVOSR
- Phone
- (217) 540-5170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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