| Gurnee Orthodontics Llc | |
|
101 S Greenleaf St Unit E Gurnee IL 60031-3369 | |
| (847) 249-1000 | |
| (847) 249-1001 |
| Full Name | Gurnee Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 101 S Greenleaf St, Gurnee, Illinois |
| Authorized Official Name and Position | Terry Sellke (PRESIDENT) |
| Authorized Official Contact | 8472491000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gurnee Orthodontics Llc 30 N Slusser St Grayslake IL 60030-3662 Ph: (847) 249-1000 | Gurnee Orthodontics Llc 101 S Greenleaf St Unit E Gurnee IL 60031-3369 Ph: (847) 249-1000 |
| NPI Number | 1306188305 |
|---|---|
| Provider Enumeration Date | 03/18/2013 |
| Last Update Date | 03/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306188305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 021000786 (Illinois) | Primary |
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