| Dentistryone Of Illinois Pc | |
|
2515 Waukegan Rd # 557 Bannockburn IL 60015-1569 | |
| (877) 712-7875 | |
| Not Available |
| Full Name | Dentistryone Of Illinois Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2515 Waukegan Rd # 557, Bannockburn, Illinois |
| Authorized Official Name and Position | Derek Weigand (OWNER) |
| Authorized Official Contact | 8777127875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistryone Of Illinois Pc 20 Highland Ave Metuchen NJ 08840-1949 Ph: () - | Dentistryone Of Illinois Pc 2515 Waukegan Rd # 557 Bannockburn IL 60015-1569 Ph: (877) 712-7875 |
| NPI Number | 1619738796 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 05/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619738796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |