| Dr. Tina Khoury, D.m.d., P.c. | |
|
50 Lakeview Pkwy Ste 120 Vernon Hills IL 60061-1590 | |
| (309) 360-8440 | |
| Not Available |
| Full Name | Dr. Tina Khoury, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 50 Lakeview Pkwy Ste 120, Vernon Hills, Illinois |
| Authorized Official Name and Position | Tina Marie Khoury (OWNER/DENTIST) |
| Authorized Official Contact | 3093608440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Tina Khoury, D.m.d., P.c. 4225 Tiger Lily Ln Apt 404 Gurnee IL 60031-9639 Ph: (309) 360-8440 | Dr. Tina Khoury, D.m.d., P.c. 50 Lakeview Pkwy Ste 120 Vernon Hills IL 60061-1590 Ph: (309) 360-8440 |
| NPI Number | 1205283165 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 08/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205283165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019030368 (Illinois) | Primary |
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