| L W Henselman Dds Pc | |
|
1310 Shermer Rd Ste 200 Northbrook IL 60062-4549 | |
| (847) 272-2181 | |
| (847) 272-2390 |
| Full Name | L W Henselman Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1310 Shermer Rd Ste 200, Northbrook, Illinois |
| Authorized Official Name and Position | Lester W Henselman (DENTIST) |
| Authorized Official Contact | 8472722181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L W Henselman Dds Pc 1310 Shermer Rd Ste 200 Northbrook IL 60062-4549 Ph: (847) 272-2181 | L W Henselman Dds Pc 1310 Shermer Rd Ste 200 Northbrook IL 60062-4549 Ph: (847) 272-2181 |
| NPI Number | 1700942513 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 02/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700942513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-014214 (Illinois) | Primary |
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