Organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Other names
OraHH
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Authorized official
CELIA HAYES (CREDENTIALING COORINATOR)
(217) 540-2200
Entity
Organization
Contact information
Practice address
1200 NETWORK CENTRE DR STE 2, EFFINGHAM, IL 62401-4637
(217) 540-2200
Mailing address
1200 NETWORK CENTRE DR STE 2, EFFINGHAM, IL 62401-4637
(217) 540-5146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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