| Id Orthodoctics Llc | |
|
1275 E Belvidere Rd Ste 100 Grayslake IL 60030-2080 | |
| (847) 548-4200 | |
| (847) 548-4527 |
| Full Name | Id Orthodoctics Llc |
|---|---|
| Speciality | Dentist |
| Location | 1275 E Belvidere Rd Ste 100, Grayslake, Illinois |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 9419553150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Orthodoctics Llc 1275 E Belvidere Rd Ste 100 Grayslake IL 60030-2080 Ph: (847) 548-4200 | Id Orthodoctics Llc 1275 E Belvidere Rd Ste 100 Grayslake IL 60030-2080 Ph: (847) 548-4200 |
| NPI Number | 1629541636 |
|---|---|
| Provider Enumeration Date | 01/03/2019 |
| Last Update Date | 01/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629541636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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