Organization
MUNDELEIN DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVANA BUENO (DIRECTOR OF CORPORATE OPERATIONS)
(773) 798-9382
Entity
Organization
Contact information
Practice address
3074 W IL ROUTE 60, MUNDELEIN, IL 60060-4270
(847) 970-7070
Mailing address
3074 W IL ROUTE 60, MUNDELEIN, IL 60060-4270
(847) 970-7070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
01/22/2026
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