# KIDS PLUS PEDIATRIC DENTISTRY, PC

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

## Provider details

- **NPI number:** 1760633564
- **Authorized official:** MELISSA J HEALY (RECEPTIONIST)
- **Authorized official phone:** (773) 772-7373

## Contact information

- **Practice address:** 990 GRAND CANYON PKWY, SUITE 120, HOFFMAN ESTATES, IL 60169-1739
- **Practice address phone:** (847) 882-2555
- **Practice address fax:** (847) 882-9260
- **Mailing address:** 990 GRAND CANYON PKWY, SUITE 120, HOFFMAN ESTATES, IL 60169-1739
- **Mailing address phone:** (847) 882-2555
- **Mailing address fax:** (847) 882-9260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 019023892 | IL | Yes |

## Other

- **Enumeration date:** 10/10/2008
- **Last updated:** 10/10/2008