Dr Thomas Love Prendergast, | |
1394 S Route 12, Fox Lake, IL 60020-1949 | |
(847) 587-5053 | |
Not Available |
Full Name | Dr Thomas Love Prendergast |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 1394 S Route 12, Fox Lake, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124124821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019022387 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Love Prendergast, 866 N Auburn Woods Dr, Palatine, IL 60067-8662 Ph: (847) 202-5813 | Dr Thomas Love Prendergast, 1394 S Route 12, Fox Lake, IL 60020-1949 Ph: (847) 587-5053 |
Dr. Carlton Bruce Hagstrom, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 208 S Us Highway 12, Fox Lake, IL 60020 Phone: 847-587-5400 Fax: 847-587-5400 | |
Dr. Daniel Choo, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1250 S Us Highway 12, Fox Lake, IL 60020 Phone: 847-587-6600 Fax: 847-587-6618 | |
Dr. Donald Saltzman, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1250 S Us Highway 12, Fox Lake, IL 60020 Phone: 847-587-6600 Fax: 847-587-6618 | |
Dr. Caroline Shepherd, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1394 S Route 12, Fox Lake, IL 60020 Phone: 847-587-5053 |