| Oral & Maxillofacial Surgeons Of Lake County, P.c. | |
|
202 S Greenleaf St Suite A Gurnee IL 60031-3399 | |
| (847) 623-2830 | |
| (847) 623-1534 |
| Full Name | Oral & Maxillofacial Surgeons Of Lake County, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 202 S Greenleaf St, Gurnee, Illinois |
| Authorized Official Name and Position | Fabian David Latocha (OWNER) |
| Authorized Official Contact | 8476232830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Maxillofacial Surgeons Of Lake County, P.c. 202 S Greenleaf St Suite A Gurnee IL 60031-3399 Ph: (847) 623-2830 | Oral & Maxillofacial Surgeons Of Lake County, P.c. 202 S Greenleaf St Suite A Gurnee IL 60031-3399 Ph: (847) 623-2830 |
| NPI Number | 1023132859 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023132859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (Illinois) | Primary |
Zieba Dentistry Gurnee, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5101 Washington St # 2v, Gurnee, IL 60031 Phone: 847-244-4000 | |
Prairie Orthodontics Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6121 Washington St, Suite 204, Gurnee, IL 60031 Phone: 847-249-8800 Fax: 847-249-8869 | |
Apollo Dental Clinic, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6121 Washington St, Suite 203, Gurnee, IL 60031 Phone: 630-267-4205 Fax: 630-477-0447 | |
Procare Dental Group, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5445 Grand Ave, Ste 202, Gurnee, IL 60031 Phone: 847-244-2775 Fax: 847-244-2777 | |
Children's Dentistry Of Lake County And Associates, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5250 Grand Ave Ste 7, Gurnee, IL 60031 Phone: 847-662-7755 Fax: 847-662-7723 | |
Gurnee Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34491 N Old Walnut Cir Ste F, Gurnee, IL 60031 Phone: 847-548-3800 Fax: 847-548-3802 |