MEDICARE: COMPASSIONATE DENTALCARE LLC

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	1223G0001X	General Practice Dentistry	019020274	IL
2	1223G0001X	General Practice Dentistry	19017265	IL
3	1223G0001X	General Practice Dentistry	19029584	IL
4	1223G0001X	General Practice Dentistry		IL

General Provider Information

NPI Number	:	1710411178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE DENTALCARE LLC

Provider Business Mailing Address
First Line	:	261 N RANDALL RD
Second Line	:
City	:	LAKE IN THE HILLS
State	:	IL
Zip	:	60156-5999
Country	:	US
Telephone Number	:	847-854-7645
Fax Number	:	847-854-9373

Provider Business Practice Location Address
First Line	:	261 N RANDALL RD
Second Line	:
City	:	LAKE IN THE HILLS
State	:	IL
Zip	:	60156-5999
Country	:	US
Telephone Number	:	847-854-7645
Fax Number	:	847-854-9373

Authorized Official
Title or Position	:	MANAGER
Name	:	TIM STIRNEMAN
Credential	:	DDS
Telephone Number	:	847-854-7645

Provider Enumeration Date	:	04/12/2017
Last Update Date	:	04/12/2017

Similar Medicare Providers

1417153107 — TIMOTHY D STIRNEMAN DDS
Practice Location Address:

261 N RANDALL RD , SUITE #102
LAKE IN THE HILLS, IL
60156-5999

Practice Phone: 847-915-3080
Practice Fax:

1285123349 — SLEEP BETTER ILLINOIS LLC
Practice Location Address:

261 N RANDALL RD STE 103
LAKE IN THE HILLS, IL
60156-5999

Practice Phone: 847-558-2224
Practice Fax:

1699446864 — BRAND NEW SMILE LLC
Practice Location Address:

261 N RANDALL RD STE 102
LAKE IN THE HILLS, IL
60156-5999

Practice Phone: 847-915-3080
Practice Fax:

1538943972 — EMULATE TREATMENT CENTER, INC
Practice Location Address:

5999 TOPANGA CANYON BLVD
WOODLAND HILLS, CA
91367-3623

Practice Phone: 818-808-0108
Practice Fax: 818-337-2003

1003016536 — DR. ADAM RICHARD VAN LEEUWEN D.D.S.
Practice Location Address:

6936 SOUTH 2475 EAST , 201
SALT LAKE CITY, UT
84121-5999

Practice Phone: 801-943-1612
Practice Fax: 801-942-6008

1619111457 — LUANNE G LANE ANP
Practice Location Address:

27401 W HIGHWAY 22 , SUITE 103
LAKE BARRINGTON, IL
60010-5999

Practice Phone: 847-382-8900
Practice Fax:

Directions to “COMPASSIONATE DENTALCARE LLC ” 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.