Organization
INNOVATIVE DENTAL MANAGEMENT
Active
Other names
Great Lakes Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJA GOEL (BUSINESS OWNER)
(847) 265-6444
Entity
Organization
Contact information
Practice address
2246 E GRAND AVE, LINDENHURST, IL 60046-7522
(847) 265-6444
(847) 264-6464
Mailing address
2246 E GRAND AVE, LINDENHURST, IL 60046-7522
(847) 265-6444
(847) 264-6464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019025462
IL
1223G0001X
General Practice Dentistry
Primary
019025474
IL
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us