| Lake County Family Dental Care | |
|
1298 S. Milwaukee Ave. Libertyville IL 60048 | |
| (847) 362-6540 | |
| (847) 362-6544 |
| Full Name | Lake County Family Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 1298 S. Milwaukee Ave., Libertyville, Illinois |
| Authorized Official Name and Position | Whitney M Booth (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 8473626540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Family Dental Care 1298 S. Milwaukee Ave. Libertyville IL 60048 Ph: (847) 362-6540 | Lake County Family Dental Care 1298 S. Milwaukee Ave. Libertyville IL 60048 Ph: (847) 362-6540 |
| NPI Number | 1659746303 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 12/20/2018 |
| Medicare PECOS PAC ID | 5890079065 |
|---|---|
| Medicare Enrollment ID | O20170307002189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659746303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.014658 (Illinois) | Primary |
Libertyville Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1870 W Winchester Rd Ste 143, Libertyville, IL 60048 Phone: 630-854-6044 | |
Country Court Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1880 W Winchester Rd Ste 113, Libertyville, IL 60048 Phone: 847-680-5141 Fax: 847-680-5181 | |
Park Avenue Dental Professionals, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 W. Park Avenue, Libertyville, IL 60048 Phone: 847-918-1255 | |
Accurate Endodontics Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 287 Peterson Rd, Libertyville, IL 60048 Phone: 847-367-8084 Fax: 847-367-8094 | |
Park Avenue Dental Professionals Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 W Park Avenue, Libertyville, IL 60048 Phone: 847-918-1255 Fax: 847-918-1280 | |
Hime & Kabot, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 W Park Ave, Libertyville, IL 60048 Phone: 847-367-8656 | |
Dental Health And Beauty Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 W Park Ave, Libertyville, IL 60048 Phone: 847-367-1133 Fax: 847-367-3388 |