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Organization

ID ORTHODOCTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(941) 955-3150
Entity
Organization

Contact information

Practice address
1275 E BELVIDERE RD STE 100, GRAYSLAKE, IL 60030-2080
(847) 548-4200
(847) 548-4527
Mailing address
1275 E BELVIDERE RD STE 100, GRAYSLAKE, IL 60030-2080
(847) 548-4200

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
01/03/2019
Last updated
01/03/2019
About Stedi
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  • EDI platform