| Consumate Dental P.c | |
|
825 E Rollins Rd Round Lake Beach IL 60073-2244 | |
| (773) 398-5822 | |
| (630) 428-2182 |
| Full Name | Consumate Dental P.c |
|---|---|
| Speciality | Dentist |
| Location | 825 E Rollins Rd, Round Lake Beach, Illinois |
| Authorized Official Name and Position | Moeen Ikram (PRESIDENT) |
| Authorized Official Contact | 7733985822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consumate Dental P.c 825 E Rollins Rd Round Lake Beach IL 60073-2244 Ph: (773) 398-5822 | Consumate Dental P.c 825 E Rollins Rd Round Lake Beach IL 60073-2244 Ph: (773) 398-5822 |
| NPI Number | 1871854042 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 06/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871854042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026480 (Illinois) | Primary |
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