Illinois Institute of Dental Sleep Medicine INC

NPI #1740518380 in Dunlap, Illinois

Provider Information

NPI Number
1740518380
Entity Type
Organization
Organization Name
Illinois Institute of Dental Sleep Medicine INC
Primary Specialty
Dentist
Enumeration Date
Nov 19, 2009
Last Updated
Apr 25, 2013

Practice Location

Address
11825 STATE ROUTE 40
City
Dunlap
ZIP Code
61525-8842
Phone
(309) 243-9239

Authorized Official

Name
CAILIN SPENCER
Title
DIRECTOR OF MEDICAL BILLING
Phone
(309) 282-8565

Specialties & Taxonomy Codes

Specialty
Dentist

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