| Zieba Dentistry Round Lake Beach, Ltd. | |
| 
					2 E Rollins Rd Ste 202 Round Lake Beach IL 60073-3809  | |
| (847) 546-5550 | |
| Not Available | 
| Full Name | Zieba Dentistry Round Lake Beach, Ltd. | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 2 E Rollins Rd Ste 202, Round Lake Beach, Illinois | 
| Authorized Official Name and Position | Mark Zieba (PRESIDENT) | 
| Authorized Official Contact | 8477274077 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Zieba Dentistry Round Lake Beach, Ltd. 1259 N Wood St Apt 406 Chicago IL 60622-8800 Ph: (847) 727-4077  | Zieba Dentistry Round Lake Beach, Ltd. 2 E Rollins Rd Ste 202 Round Lake Beach IL 60073-3809 Ph: (847) 546-5550  | 
| NPI Number | 1992279467 | 
|---|---|
| Provider Enumeration Date | 01/17/2019 | 
| Last Update Date | 10/25/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992279467 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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