Dental Professionals of Illinois, P.c.

NPI #1972925584 in Gurnee, Illinois

Provider Information

NPI Number
1972925584
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
Jan 16, 2014
Last Updated
Jan 16, 2014

Practice Location

Address
6631 GRAND AVE STE 1
City
Gurnee
ZIP Code
60031-5284
Phone
(847) 281-5488

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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