Dental Professionals of Illinois, P.c.

NPI #1588322119 in Woodstock, Illinois

Provider Information

NPI Number: 1588322119
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 1, 2021
Last Updated: Dec 1, 2021

Practice Location

Address: 935 COUNTRY CLUB RD
City: Woodstock
State: Illinois
ZIP Code: 60098-7212
Phone: (815) 527-0622

Authorized Official

Name: CELIA HAYES
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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