| Boonecreek Dentistry | |
|
5404 W Elm St Ste F Mchenry IL 60050-4052 | |
| (815) 759-0871 | |
| (815) 759-0875 |
| Full Name | Boonecreek Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 5404 W Elm St, Mchenry, Illinois |
| Authorized Official Name and Position | Robert G Brunetti (CEO) |
| Authorized Official Contact | 8476401112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boonecreek Dentistry 605 E Algonquin Rd Ste 300 Arlington Heights IL 60005-4373 Ph: (847) 640-1112 | Boonecreek Dentistry 5404 W Elm St Ste F Mchenry IL 60050-4052 Ph: (815) 759-0871 |
| NPI Number | 1245304450 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245304450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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