| Brian P Danielewicz Dds Ltd | |
|
740 Florsheim Dr Suite 12 Libertyville IL 60048-3712 | |
| (847) 816-3377 | |
| (847) 816-3858 |
| Full Name | Brian P Danielewicz Dds Ltd |
|---|---|
| Speciality | Dentist |
| Location | 740 Florsheim Dr, Libertyville, Illinois |
| Authorized Official Name and Position | Brian P Danielewicz (QWNER) |
| Authorized Official Contact | 8478163377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian P Danielewicz Dds Ltd 740 Florsheim Dr Suite 12 Libertyville IL 60048-3712 Ph: (847) 816-3377 | Brian P Danielewicz Dds Ltd 740 Florsheim Dr Suite 12 Libertyville IL 60048-3712 Ph: (847) 816-3377 |
| NPI Number | 1669800413 |
|---|---|
| Provider Enumeration Date | 10/14/2013 |
| Last Update Date | 10/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669800413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019023664 (Illinois) | Primary |
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