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12171 Regency Square Parkway Huntley IL 60142 | |
| (847) 669-6400 | |
| (847) 669-6885 |
| Full Name | |
|---|---|
| Speciality | Dental Hygienist |
| Location | 12171 Regency Square Parkway, Huntley, Illinois |
| Authorized Official Name and Position | Leonard Vihnanek (MANAGER) |
| Authorized Official Contact | 8476696400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12171 Regency Square Parkway Huntley IL 60142 Ph: (847) 669-6400 | 12171 Regency Square Parkway Huntley IL 60142 Ph: (847) 669-6400 |
| NPI Number | 1013098508 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013098508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
| 122300000X | Dentist | (Illinois) | Primary |
| 124Q00000X | Dental Hygienist | (Illinois) | Primary |
Carlson, Castor & Hauf, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10775 N Il Route 47, Huntley, IL 60142 Phone: 847-669-4771 | |
John A Schmeda, Dds, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13230 W Hampton Ct, Huntley, IL 60142 Phone: 847-659-1877 Fax: 847-659-1658 |