| Waukegan Family Family | |
|
338 S. Greenbay Rd. Waukegan IL 60085-4850 | |
| (847) 336-7800 | |
| Not Available |
| Full Name | Waukegan Family Family |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 338 S. Greenbay Rd., Waukegan, Illinois |
| Authorized Official Name and Position | Michael Papendick (OWNER) |
| Authorized Official Contact | 8473367800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waukegan Family Family 338 S. Greenbay Rd. Waukegan IL 60085-4850 Ph: (847) 336-7800 | Waukegan Family Family 338 S. Greenbay Rd. Waukegan IL 60085-4850 Ph: (847) 336-7800 |
| NPI Number | 1023458502 |
|---|---|
| Provider Enumeration Date | 06/28/2013 |
| Last Update Date | 06/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023458502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-018637 (Illinois) | Primary |
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