| Dental Professionals Of Illinois, P.c. | |
|
16302 S Boulevard Pl Unit 102 Plainfield IL 60586-4403 | |
| (815) 676-3337 | |
| (815) 676-3734 |
| Full Name | Dental Professionals Of Illinois, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16302 S Boulevard Pl Unit 102, Plainfield, Illinois |
| Authorized Official Name and Position | Belinda Huerta (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Illinois, P.c. 16302 S Boulevard Pl Unit 102 Plainfield IL 60586-4403 Ph: (815) 676-3337 | Dental Professionals Of Illinois, P.c. 16302 S Boulevard Pl Unit 102 Plainfield IL 60586-4403 Ph: (815) 676-3337 |
| NPI Number | 1366227241 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366227241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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