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Organization

HAMILTON LAKES DENTISTRY GROUP, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHRYN ELIZABETH CONTI DDS (OWNER/GENERAL DENTIST)
(630) 773-6966
Entity
Organization

Contact information

Practice address
500 PARK BLVD STE 180C, ITASCA, IL 60143-3121
(630) 773-6966
Mailing address
500 PARK BLVD STE 180C, ITASCA, IL 60143-3121
(630) 773-6966

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225385701
NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM
IL
01
1417000704
NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM
IL
01
1598147324
NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM
IL
Enumeration date
12/10/2021
Last updated
12/10/2021
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