| Dr Kevin Lloyd Fatland, DMD | |
|
19509 Governor's Highway, Flossmoor, IL 60422-2097 | |
| (708) 647-7509 | |
| (708) 647-7918 |
| Full Name | Dr Kevin Lloyd Fatland |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 19509 Governor's Highway, Flossmoor, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245258318 | NPI | - | NPPES |
| 019025070 | Medicaid | IL | |
| 200361700A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010455A (Indiana) | Secondary |
| 1223G0001X | Dentist - General Practice | 19025070 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Lloyd Fatland, DMD 19509 Governor's Highway, Flossmoor, IL 60422-2097 Ph: (708) 647-7509 | Dr Kevin Lloyd Fatland, DMD 19509 Governor's Highway, Flossmoor, IL 60422-2097 Ph: (708) 647-7509 |
Dr. Stephen Edward Jarvie, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 19509 Governors Hwy, Flossmoor, IL 60422 Phone: 708-798-8787 Fax: 708-798-8948 | |
Dr. Barbara Lynn Malone, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 19615 Governors Hwy, Flossmoor, IL 60422 Phone: 708-647-6453 Fax: 708-647-0808 | |
Dr. Rebecca J. Testa, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 19815 Governors Hwy, Suite # 4, Flossmoor, IL 60422 Phone: 708-814-5783 | |
Dr. Cary N Goldberg, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 19615 Governors Hwy, Flossmoor, IL 60422 Phone: 708-647-6453 | |
Dr. Laura Mabel Lalich, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2630 Flossmoor Rd, Suite 103, Flossmoor, IL 60422 Phone: 708-798-0990 Fax: 708-798-3370 | |
Dr. Mirette Boushra, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 19815 Governors Hwy Ste 7, Flossmoor, IL 60422 Phone: 708-794-4253 |