Dental Professionals of Illinois, P.c.

NPI #1821242603 in Sycamore, Illinois

Provider Information

NPI Number: 1821242603
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: Nov 6, 2008
Last Updated: Jan 7, 2014

Practice Location

Address: 1840 DEKALB AVE
Address 2: SUITE B
City: Sycamore
State: Illinois
ZIP Code: 60178
Phone: (815) 895-4625

Authorized Official

Name: LINDSAY BEARDEN
Title: INSURANCE/CREDENTIALING
Phone: (217) 540-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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