| Greenwood Dental Care Llc | |
|
609 W Greenwood Ave Waukegan IL 60087-5000 | |
| (847) 244-9000 | |
| (847) 244-0009 |
| Full Name | Greenwood Dental Care Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 609 W Greenwood Ave, Waukegan, Illinois |
| Authorized Official Name and Position | Nikol Kurziak (OWNER/DENTIST) |
| Authorized Official Contact | 8472449000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenwood Dental Care Llc 609 W Greenwood Ave Waukegan IL 60087-5000 Ph: (847) 244-9000 | Greenwood Dental Care Llc 609 W Greenwood Ave Waukegan IL 60087-5000 Ph: (847) 244-9000 |
| NPI Number | 1245690098 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 03/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245690098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019024191 (Illinois) | Primary |
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