| North Shore Orthodontic Associates | |
|
225 E Deerpath Rd Ste 280 Lake Forest IL 60045-1973 | |
| (847) 234-4400 | |
| (847) 234-4403 |
| Full Name | North Shore Orthodontic Associates |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 225 E Deerpath Rd Ste 280, Lake Forest, Illinois |
| Authorized Official Name and Position | Bryon Kozak (PRESIDENT OWNER) |
| Authorized Official Contact | 8472344400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Orthodontic Associates 225 E Deerpath Rd Ste 280 Lake Forest IL 60045-1973 Ph: (847) 234-4400 | North Shore Orthodontic Associates 225 E Deerpath Rd Ste 280 Lake Forest IL 60045-1973 Ph: (847) 234-4400 |
| NPI Number | 1538236336 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538236336 | NPI | - | NPPES |
| 1104946912 | Other | IL | NPI |
| 1407925050 | Other | IL | NPI |
| 1689743247 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Anderson Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 S. Waukegan Rd., Suite 106, Lake Forest, IL 60045 Phone: 847-295-0515 Fax: 847-234-0048 | |
Lake Forest Dental Associates, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 E Laurel Ave, Lake Forest, IL 60045 Phone: 847-234-6440 Fax: 847-234-2195 | |
North Suburban Oral And Maxillofacial Surgery Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 N Westmoreland Rd, Suite 208, Lake Forest, IL 60045 Phone: 847-234-3390 Fax: 847-234-3391 | |
Douglas B. Campbell Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S Waukegan Rd, Lake Forest, IL 60045 Phone: 847-234-4800 Fax: 847-234-4876 | |
Campbell & Schmidt Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S Waukegan Rd, Lake Forest, IL 60045 Phone: 847-234-4800 | |
David E. Schmidt, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S Waukegan Rd Ste A1, Lake Forest, IL 60045 Phone: 847-234-4800 Fax: 847-234-4876 |