Organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Other names
Family Dental of Orland Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Authorized official
LINDSAY BEARDEN (INS COORD)
(217) 540-5100
Entity
Organization
Contact information
Practice address
11041 W 179TH ST, ORLAND PARK, IL 60467-9452
(708) 478-5093
(708) 478-5096
Mailing address
11041 W 179TH ST, ORLAND PARK, IL 60467-9452
(708) 478-5093
(708) 478-5096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/04/2007
Last updated
01/07/2014
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