| Gurneectd LLC | |
|
3930 Washington St Gurnee IL 60031-5702 | |
| (847) 623-4888 | |
| Not Available |
| Full Name | Gurneectd LLC |
|---|---|
| Speciality | Dentist |
| Location | 3930 Washington St, Gurnee, Illinois |
| Authorized Official Name and Position | Mitch Weiland (ASSISTANT CONTROLLER) |
| Authorized Official Contact | 6083430818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gurneectd LLC 8025 Excelsior Dr Madison WI 53717-1900 Ph: (608) 833-2212 | Gurneectd LLC 3930 Washington St Gurnee IL 60031-5702 Ph: (847) 623-4888 |
| NPI Number | 1699445031 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 09/16/2021 |
| Certification Date | 09/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699445031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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