Organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Other names
North Aurora Lifetime Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Authorized official
HANNAH FISH (CREDENTIALING MANAGER)
(217) 540-5699
Entity
Organization
Contact information
Practice address
100 HANSEN BLVD, NORTH AURORA, IL 60542-8985
(630) 896-3939
(630) 896-3997
Mailing address
100 HANSEN BLVD, NORTH AURORA, IL 60542-8985
(630) 896-3939
(630) 896-3997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/25/2008
Last updated
07/31/2023
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