MEDICARE: LUZ O CUA DMD MS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics		IL

General Provider Information

NPI Number	:	1659545432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUZ O CUA DMD MS PC

Provider Business Mailing Address
First Line	:	1535 LAKE COOK RD STE 108
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-1450
Country	:	US
Telephone Number	:	847-564-3388
Fax Number	:	847-564-3382

Provider Business Practice Location Address
First Line	:	1535 LAKE COOK RD STE 108
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-1450
Country	:	US
Telephone Number	:	847-564-3388
Fax Number	:	847-564-3382

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2008
Last Update Date	:	04/14/2008

Similar Medicare Providers

1306849252 — DR. STEVEN NEAL KACEL D.D.S.
Practice Location Address:

1535 LAKE COOK RD , STE 107
NORTHBROOK, IL
60062-1450

Practice Phone: 847-498-4415
Practice Fax: 847-498-4496

1902855356 — DR. ROBERT L. DAVENPORT PH.D.
Practice Location Address:

1535 LAKE COOK RD , SUITE # 111
NORTHBROOK, IL
60062-1450

Practice Phone: 847-498-4744
Practice Fax: 847-498-4811

1154400638 — DR. ARNOLD W GORCHOW DDS
Practice Location Address:

1535 LAKE COOK RD STE 104
NORTHBROOK, IL
60062-1450

Practice Phone: 847-498-9767
Practice Fax: 847-498-9045

1255466629 — DR. REBECCA HANDEL-FANO PSY.D.
Practice Location Address:

1535 LAKE COOK RD STE 112 , NORTHBROOK COURT PROFESSIONAL PLAZA
NORTHBROOK, IL
60062-1450

Practice Phone: 847-942-2050
Practice Fax:

1093916231 — DR. JOHN PANZICA D.D.S.
Practice Location Address:

1535 LAKE COOK RD STE 104
NORTHBROOK, IL
60062-1450

Practice Phone: 847-498-9767
Practice Fax: 847-498-9045

1669650578 — SHELDON COTLER ET AL PTR NORTH SHORE CONSULTATION CENTER
Practice Location Address:

1535 LAKE COOK RD , SUITE #111
NORTHBROOK, IL
60062-1450

Practice Phone: 847-498-4744
Practice Fax: 847-498-4811

Directions to “ LUZ O CUA DMD MS PC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.