Lamarr Lemee Dental Corp | |
708 Church St Suite 208 Evanston IL 60201-3875 | |
(847) 866-6630 | |
(847) 866-8605 |
Full Name | Lamarr Lemee Dental Corp |
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Speciality | Clinic/center - Dental |
Location | 708 Church St, Evanston, Illinois |
Authorized Official Name and Position | Herbert Wendell Lemee (PRESIDENT) |
Authorized Official Contact | 8478666630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lamarr Lemee Dental Corp 708 Church St Suite 208 Evanston IL 60201-3875 Ph: (847) 866-6630 | Lamarr Lemee Dental Corp 708 Church St Suite 208 Evanston IL 60201-3875 Ph: (847) 866-6630 |
NPI Number | 1184969412 |
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Provider Enumeration Date | 11/27/2012 |
Last Update Date | 11/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184969412 | NPI | - | NPPES |
1265596696 | Other | IL | INDIVIDUAL DENTIST NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 019020539 (Illinois) | Primary |
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