| Lakemoor Dental | |
|
28956 W. Rt 120 Lakemoor IL 60051 | |
| (815) 363-8888 | |
| (815) 363-8890 |
| Full Name | Lakemoor Dental |
|---|---|
| Speciality | Dentist |
| Location | 28956 W. Rt 120, Lakemoor, Illinois |
| Authorized Official Name and Position | Sima R Patel (DENTIST) |
| Authorized Official Contact | 8153638888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakemoor Dental 28956 W. Rt 120 Lakemoor IL 60051 Ph: (815) 363-8888 | Lakemoor Dental 28956 W. Rt 120 Lakemoor IL 60051 Ph: (815) 363-8888 |
| NPI Number | 1356719603 |
|---|---|
| Provider Enumeration Date | 09/03/2015 |
| Last Update Date | 09/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356719603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019023300 (Illinois) | Primary |
Dental Professionals Of Illinois, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 31700 N Us Highway 12, Lakemoor, IL 60051 Phone: 815-322-1587 Fax: 815-322-1785 |