Organization
PROGRESSIVE DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN J ACIERNO D.D.S. (MANAGER)
(630) 339-3172
Entity
Organization
Contact information
Practice address
1301 PYOTT RD, SUITE 209, LAKE IN THE HILLS, IL 60156-9794
(630) 339-3172
Mailing address
129 S ROSELLE RD, SUITE 102, SCHAUMBURG, IL 60193-5540
(630) 339-3172
(847) 891-6775
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
019028070
IL
305R00000X
Preferred Provider Organization
019028439
IL
305R00000X
Preferred Provider Organization
019028928
IL
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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