Organization
HAWTHORN DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN KUGEL (MANAGER)
(847) 821-7222
Entity
Organization
Contact information
Practice address
1220 E US HIGHWAY 45, SUITE 200, VERNON HILLS, IL 60061-4114
(847) 821-7222
Mailing address
1220 E US HIGHWAY 45, SUITE 200, VERNON HILLS, IL 60061-4114
(847) 821-7222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0600069321
IL
Other
Enumeration date
08/20/2006
Last updated
05/25/2011
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