| Lisa Konz, D.d.s., P.c. | |
|
747 N. Milwaukee Ave. Suite 103 Libertyville IL 60048 | |
| (847) 367-3050 | |
| (847) 367-3053 |
| Full Name | Lisa Konz, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 747 N. Milwaukee Ave., Libertyville, Illinois |
| Authorized Official Name and Position | Lisa M Konz (PRESIDENT OF PROFESSIONAL CORPORATI) |
| Authorized Official Contact | 8473673050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Konz, D.d.s., P.c. 747 N. Milwaukee Ave. Suite 103 Libertyville IL 60048 Ph: (847) 367-3050 | Lisa Konz, D.d.s., P.c. 747 N. Milwaukee Ave. Suite 103 Libertyville IL 60048 Ph: (847) 367-3050 |
| NPI Number | 1700134749 |
|---|---|
| Provider Enumeration Date | 08/23/2012 |
| Last Update Date | 08/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700134749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-024756 (Illinois) | Primary |
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