Organization
DCP OF ILLINOIS - CRYSTAL LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN HILL (RCM, DIRECTOR)
(972) 930-7707
Entity
Organization
Contact information
Practice address
1145 SOUTH ROUTE 31, SIUTE J, CRYSTAL LAKE, IL 60039
(815) 477-5399
(815) 477-2593
Mailing address
5875 LANDERBROOK DR, #250, MAYFIELD HEIGHTS, OH 44124-6511
(800) 487-4867
(216) 593-7533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/09/2008
Last updated
09/20/2022
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