| Prairie Orthodontics Pc | |
|
6121 Washington St Suite 204 Gurnee IL 60031 | |
| (847) 249-8800 | |
| (847) 249-8869 |
| Full Name | Prairie Orthodontics Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6121 Washington St, Gurnee, Illinois |
| Authorized Official Name and Position | Bridget O Mueller (OFFICE MANAGER) |
| Authorized Official Contact | 8472498800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Orthodontics Pc 6121 Washington St Suite 204 Gurnee IL 60031 Ph: (847) 249-8800 | Prairie Orthodontics Pc 6121 Washington St Suite 204 Gurnee IL 60031 Ph: (847) 249-8800 |
| NPI Number | 1033284831 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033284831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 06006486 (Illinois) | Primary |
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