Lake Cook Dental Center

NPI #1487992327 in Itasca, Illinois

Provider Information

NPI Number: 1487992327
Entity Type: Organization
Organization Name: Lake Cook Dental Center
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Jan 28, 2013
Last Updated: Jan 28, 2013

Practice Location

Address: 115 W ORCHARD ST
City: Itasca
State: Illinois
ZIP Code: 60143-1700
Phone: (847) 250-5580

Authorized Official

Name: DR. ROSE M LESNIAK, DDS
Title: PRESIDENT
Phone: (847) 250-5580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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