| Dental Professionals Of Illinois, P.c | |
|
6335 Joliet Rd Ste 200 Countryside IL 60525-3986 | |
| (708) 352-1830 | |
| Not Available |
| Full Name | Dental Professionals Of Illinois, P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6335 Joliet Rd Ste 200, Countryside, Illinois |
| Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Illinois, P.c 6335 Joliet Rd Ste 200 Countryside IL 60525-3986 Ph: () - | Dental Professionals Of Illinois, P.c 6335 Joliet Rd Ste 200 Countryside IL 60525-3986 Ph: (708) 352-1830 |
| NPI Number | 1598427189 |
|---|---|
| Provider Enumeration Date | 10/11/2021 |
| Last Update Date | 10/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598427189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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