| Dental Professionals Of Illinois, P.c. | |
|
515 Us Highway 6 Minooka IL 60447-8814 | |
| (815) 620-0889 | |
| Not Available |
| Full Name | Dental Professionals Of Illinois, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 515 Us Highway 6, Minooka, Illinois |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Illinois, P.c. 515 Us Highway 6 Minooka IL 60447-8814 Ph: (815) 620-0889 | Dental Professionals Of Illinois, P.c. 515 Us Highway 6 Minooka IL 60447-8814 Ph: (815) 620-0889 |
| NPI Number | 1821731464 |
|---|---|
| Provider Enumeration Date | 04/20/2022 |
| Last Update Date | 04/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821731464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Ridge Dental Group, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2003 Ridge Road, Minooka, IL 60447 Phone: 815-521-4292 | |
Kurt M. Homb, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 E Mondamin St, Minooka, IL 60447 Phone: 815-467-4414 |