Organization
DENTAL PROFESSIONALS OF ILLINOIS, PC
Active
Parent organization
DENTAL PROFESSIONALS OF ILLINOIS, PC
Other names
Dental Care of Huntley
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF ILLINOIS, PC
Authorized official
KENDRA W (CREDENTIALING TEAM LEAD)
(217) 540-8312
Entity
Organization
Contact information
Practice address
12222 ROUTE 47, HUNTLEY, IL 60142
(224) 293-0137
Mailing address
12222 ROUTE 47, HUNTLEY, IL 60142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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