Dental Professionals of Illinois, P.c.

NPI #1790262434 in Fox Lake, Illinois

Provider Information

NPI Number
1790262434
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
Jul 25, 2018
Last Updated
Oct 3, 2018

Practice Location

Address
1402 S US HIGHWAY 12
ZIP Code
60020-1252
Phone
(217) 540-5100

Authorized Official

Name
JESSICA BRITT
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-8426

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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