Bdd of Illinois P.c.

NPI #1376214346 in Elgin, Illinois

Provider Information

NPI Number: 1376214346
Entity Type: Organization
Organization Name: Bdd of Illinois P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: BDD OF ILLINOIS P.C.
Primary Specialty: Dentist
Enumeration Date: Sep 21, 2021
Last Updated: Jul 26, 2024

Practice Location

Address: 1030 SUMMIT ST
City: Elgin
State: Illinois
ZIP Code: 60120-4371
Phone: (847) 888-8282

Authorized Official

Name: STEPHANIE MOORE
Title: DIRECTOR OF REVENUE CYCLE
Phone: (832) 704-4262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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