| Kenneth M Lutsch,dds,ltd | |
|
619 Harlem Rd Machesney Park IL 61115-2429 | |
| (815) 877-8800 | |
| (815) 877-8805 |
| Full Name | Kenneth M Lutsch,dds,ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 619 Harlem Rd, Machesney Park, Illinois |
| Authorized Official Name and Position | Kenneth M Lutsch (OWNER) |
| Authorized Official Contact | 8158778800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth M Lutsch,dds,ltd 619 Harlem Rd Machesney Park IL 61115-2429 Ph: (815) 877-8800 | Kenneth M Lutsch,dds,ltd 619 Harlem Rd Machesney Park IL 61115-2429 Ph: (815) 877-8800 |
| NPI Number | 1578633178 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578633178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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