| Northbrook Orthodontics | |
|
1015 Waukegan Rd Northbrook IL 60062-3717 | |
| (618) 789-0886 | |
| Not Available |
| Full Name | Northbrook Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1015 Waukegan Rd, Northbrook, Illinois |
| Authorized Official Name and Position | Thomas Lim (PRESIDENT) |
| Authorized Official Contact | 6187890886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northbrook Orthodontics 163 E Louis Ave Lake Forest IL 60045-2940 | Northbrook Orthodontics 1015 Waukegan Rd Northbrook IL 60062-3717 Ph: (618) 789-0886 |
| NPI Number | 1033729090 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 08/05/2020 |
| Certification Date | 08/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033729090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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