| Erin's Family Dental Practice, Ltd | |
|
20 N Whitney St Grayslake IL 60030-1546 | |
| (847) 223-7710 | |
| (847) 223-7715 |
| Full Name | Erin's Family Dental Practice, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20 N Whitney St, Grayslake, Illinois |
| Authorized Official Name and Position | Joo Han Kwon (PRESIDENT) |
| Authorized Official Contact | 8472237710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin's Family Dental Practice, Ltd 20 N Whitney St Grayslake IL 60030-1546 Ph: (847) 223-7710 | Erin's Family Dental Practice, Ltd 20 N Whitney St Grayslake IL 60030-1546 Ph: (847) 223-7710 |
| NPI Number | 1891914842 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891914842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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