Organization
MIDWEST FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANEY ELAYNE SCHUMAN-BOYS DMD (PRESIDENT)
(618) 654-2080
Entity
Organization
Contact information
Practice address
10 APEX DR STE 2, HIGHLAND, IL 62249-1296
(618) 654-2080
(618) 654-2090
Mailing address
10 APEX DR STE 2, HIGHLAND, IL 62249-1296
(618) 654-2080
(618) 654-2090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023663
IL
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/05/2015
Last updated
08/11/2015
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