Dentistryone Of Illinois Pc | |
2515 Waukegan Rd # 557 Bannockburn IL 60015-1569 | |
(877) 712-7875 | |
Not Available |
Full Name | Dentistryone Of Illinois Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 2515 Waukegan Rd # 557, Bannockburn, Illinois |
Authorized Official Name and Position | Derek Weigand (OWNER) |
Authorized Official Contact | 8777127875 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dentistryone Of Illinois Pc 460 Main St Ste B Metuchen NJ 08840-1834 Ph: () - | Dentistryone Of Illinois Pc 2515 Waukegan Rd # 557 Bannockburn IL 60015-1569 Ph: (877) 712-7875 |
NPI Number | 1619738796 |
---|---|
Provider Enumeration Date | 01/17/2024 |
Last Update Date | 01/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619738796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |