| Hamilton Lakes Dentistry Group, Pllc | |
|
500 Park Blvd Ste 180c Itasca IL 60143-3121 | |
| (630) 773-6966 | |
| Not Available |
| Full Name | Hamilton Lakes Dentistry Group, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 500 Park Blvd Ste 180c, Itasca, Illinois |
| Authorized Official Name and Position | Kathryn Elizabeth Conti (OWNER/GENERAL DENTIST) |
| Authorized Official Contact | 6307736966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamilton Lakes Dentistry Group, Pllc 500 Park Blvd Ste 180c Itasca IL 60143-3121 Ph: (630) 773-6966 | Hamilton Lakes Dentistry Group, Pllc 500 Park Blvd Ste 180c Itasca IL 60143-3121 Ph: (630) 773-6966 |
| NPI Number | 1164181772 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 12/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164181772 | NPI | - | NPPES |
| 1417000704 | Other | IL | NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM |
| 1598147324 | Other | IL | NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM |
| 1225385701 | Other | IL | NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
John A. Guerrieri D.d.s. Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 W Irving Park Rd, Itasca, IL 60143 Phone: 847-250-5394 Fax: 847-250-5393 | |
Orthodontic Solutions Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1240 W Irving Park Rd, Itasca, IL 60143 Phone: 630-250-8888 Fax: 630-250-9400 | |
Hamilton Lakes Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Park Blvd, Suite 180c, Itasca, IL 60143 Phone: 630-773-6966 Fax: 630-773-6971 | |
Joseph R. Sperlazzo D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 W Irving Park Rd, Itasca, IL 60143 Phone: 630-773-9166 |