Organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Other names
Avid Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Authorized official
COURTNEY MONTEITH (CREDENTIALING)
(217) 764-8609
Entity
Organization
Contact information
Practice address
2246 E GRAND AVE, LINDENHURST, IL 60046-7522
(847) 265-6444
Mailing address
2246 E GRAND AVE, LINDENHURST, IL 60046-7522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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