| Lagrange Periodontics, Ltd | |
|
6520 Joliet Rd Countryside IL 60525 | |
| (708) 354-4545 | |
| (708) 354-0336 |
| Full Name | Lagrange Periodontics, Ltd |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 6520 Joliet Rd, Countryside, Illinois |
| Authorized Official Name and Position | Michelle P Jennings (PRESIDENT/PERIODONTIST) |
| Authorized Official Contact | 7083544545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagrange Periodontics, Ltd 6520 Joliet Rd Countryside IL 60525-4649 Ph: (708) 354-4545 | Lagrange Periodontics, Ltd 6520 Joliet Rd Countryside IL 60525 Ph: (708) 354-4545 |
| NPI Number | 1023175775 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 10/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023175775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 21001561 (Illinois) | Primary |
| 1223P0300X | Dentist - Periodontics | 21001423 (Illinois) | Secondary |
Countryside Dental Group, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6335 Joliet Rd, 200, Countryside, IL 60525 Phone: 708-352-1830 | |
Lagrange Perio Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6520 Joliet Rd, Countryside, IL 60525 Phone: 708-354-4545 | |
Gary N Taylor Dds, Ms, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 W 55th St, Suite 208, Countryside, IL 60525 Phone: 708-579-0488 | |
Dental Professionals Of Illinois, P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6335 Joliet Rd Ste 200, Countryside, IL 60525 Phone: 708-352-1830 | |
Russell T. Ras, Dds,ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6538 Joliet Rd, Countryside, IL 60525 Phone: 708-354-2227 Fax: 708-354-2367 | |
Robert R. Giering D.d.s. Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 W 55th St, Suite 205, Countryside, IL 60525 Phone: 708-354-3409 |