Dental Professionals of Illinois, P.c.
NPI #1770994915 in South Elgin, Illinois
Provider Information
- NPI Number
- 1770994915
- 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
- May 9, 2014
- Last Updated
- May 9, 2014
Practice Location
- Address
- 342 RANDALL RD
- City
- South Elgin
- State
- Illinois
- ZIP Code
- 60177-2261
- Phone
- (847) 531-4246
Authorized Official
- Name
- LINDSAY BEARDEN
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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