Dental Professionals of Illinois, P.c.

NPI #1386369858 in Lakemoor, Illinois

Provider Information

NPI Number: 1386369858
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: Oct 7, 2022
Last Updated: Oct 7, 2022

Practice Location

Address: 31700 N US HIGHWAY 12
City: Lakemoor
State: Illinois
ZIP Code: 60051-8005
Phone: (815) 322-1587

Authorized Official

Name: BELINDA HUERTA
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-2100

Specialties & Taxonomy Codes

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

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