Individual
DR. LYNN C PODLASEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
100 N ATKINSON RD, SUITE 104, GRAYSLAKE, IL 60030-7801
(847) 223-0110
Mailing address
224 BROWN ST STE B, WAUCONDA, IL 60084-1747
(847) 526-2831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.026502
IL
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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