# M LAUCK SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295909240
- **Authorized official:** DR. MICHAEL JAMES LAUCK D.D.S. (PRESIDENT)
- **Authorized official phone:** (630) 833-0395

## Contact information

- **Practice address:** 360 W BUTTERFIELD RD, SUITE 220, ELMHURST, IL 60126-5068
- **Practice address phone:** (630) 833-0395
- **Mailing address:** 360 W BUTTERFIELD RD, SUITE 220, ELMHURST, IL 60126-5068
- **Mailing address phone:** (630) 833-0395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 019013525 | IL | Yes |

## Other

- **Enumeration date:** 04/19/2008
- **Last updated:** 04/24/2008