Dental Professionals of Illinois, P.c
NPI #1306239835 in Lake in the Hills, Illinois
Provider Information
- NPI Number
- 1306239835
- 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
- Mar 9, 2015
- Last Updated
- Mar 9, 2015
Practice Location
- Address
- 290 N RANDALL RD STE A
- State
- Illinois
- ZIP Code
- 60156-5902
- Phone
- (847) 230-4228
Authorized Official
- Name
- LINDSAY BEARDEN
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-5699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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