Dental Professionals of Illinois, P.c.

NPI #1376254920 in Oak Park, Illinois

Provider Information

NPI Number
1376254920
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
Dec 5, 2022
Last Updated
Dec 5, 2022

Practice Location

Address
1113 CHICAGO AVE
ZIP Code
60302-1803
Phone
(708) 383-0500

Authorized Official

Name
HILLARY THULL
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-8946

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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