| Dental Professionals Of Illinois, P.c. | |
|
31700 N Us Highway 12 Lakemoor IL 60051-8005 | |
| (815) 322-1587 | |
| (815) 322-1785 |
| Full Name | Dental Professionals Of Illinois, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 31700 N Us Highway 12, Lakemoor, Illinois |
| Authorized Official Name and Position | Belinda Huerta (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Illinois, P.c. 31700 N Us Highway 12 Lakemoor IL 60051-8005 Ph: (815) 322-1587 | Dental Professionals Of Illinois, P.c. 31700 N Us Highway 12 Lakemoor IL 60051-8005 Ph: (815) 322-1587 |
| NPI Number | 1386369858 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 10/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386369858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Lakemoor Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28956 W. Rt 120, Lakemoor, IL 60051 Phone: 815-363-8888 Fax: 815-363-8890 |