| Timothy L. Straka D.D.S., L.L.C. | |
|
3 S Greenleaf St Ste L Gurnee IL 60031-3377 | |
| (847) 360-8450 | |
| Not Available |
| Full Name | Timothy L. Straka D.D.S., L.L.C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3 S Greenleaf St Ste L, Gurnee, Illinois |
| Authorized Official Name and Position | Timothy L Straka (MEMBER) |
| Authorized Official Contact | 8473608450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy L. Straka D.D.S., L.L.C. 3 S. Greenleaf St Ste L Gurnee IL 60031-3377 Ph: (847) 360-8450 | Timothy L. Straka D.D.S., L.L.C. 3 S Greenleaf St Ste L Gurnee IL 60031-3377 Ph: (847) 360-8450 |
| NPI Number | 1679877195 |
|---|---|
| Provider Enumeration Date | 12/23/2010 |
| Last Update Date | 12/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679877195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019018122 (Illinois) | Primary |
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