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2 E Rollins Rd Ste 202 Round Lake Beach IL 60073-3809 | |
| (847) 546-5550 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2 E Rollins Rd Ste 202, Round Lake Beach, Illinois |
| Authorized Official Name and Position | Mark Zieba (PRESIDENT) |
| Authorized Official Contact | 8477274077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1259 N Wood St Apt 406 Chicago IL 60622-8800 Ph: (847) 727-4077 | 2 E Rollins Rd Ste 202 Round Lake Beach IL 60073-3809 Ph: (847) 546-5550 |
| NPI Number | 1992279467 |
|---|---|
| Provider Enumeration Date | 01/17/2019 |
| Last Update Date | 10/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992279467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Smile Clinique, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2213 N Il Route 83, Round Lake Beach, IL 60073 Phone: 847-548-9527 Fax: 847-548-9637 | |
Rollins Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 E Rollins Rd, Round Lake Beach, IL 60073 Phone: 224-757-5939 | |
Jnm Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 W Rollins Rd, Round Lake Beach, IL 60073 Phone: 847-740-4600 | |