Organization
IL JUDGE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ERIN MORRIS (HEAD OF PAYOR STRATEGY)
(719) 464-1344
Entity
Organization
Contact information
Practice address
11585 IL ROUTE 14, WOODSTOCK, IL 60098-7227
(815) 269-4681
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027369
IL
Other
Enumeration date
11/14/2008
Last updated
03/12/2025
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