Organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Other names
Dental Care at Lakemoor Commons
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
31700 N US HIGHWAY 12, LAKEMOOR, IL 60051-8005
(815) 322-1587
(815) 322-1785
Mailing address
31700 N US HIGHWAY 12, LAKEMOOR, IL 60051-8005
(815) 322-1587
(815) 322-1785
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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