MEDICARE: DR. TINA KHOURY, D.M.D., P.C.

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	019030368	IL

General Provider Information

NPI Number	:	1205283165
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. TINA KHOURY, D.M.D., P.C.

Provider Business Mailing Address
First Line	:	4225 TIGER LILY LN
Second Line	:	APT 404
City	:	GURNEE
State	:	IL
Zip	:	60031-9639
Country	:	US
Telephone Number	:	309-360-8440
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 LAKEVIEW PKWY STE 120
Second Line	:
City	:	VERNON HILLS
State	:	IL
Zip	:	60061-1590
Country	:	US
Telephone Number	:	309-360-8440
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. TINA MARIE KHOURY
Credential	:	DMD
Telephone Number	:	309-360-8440

Provider Enumeration Date	:	05/20/2016
Last Update Date	:	08/14/2020

Similar Medicare Providers

1982142402 — AMERICAN MOLECULAR LABORATORIES INC
Practice Location Address:

50 LAKEVIEW PKWY STE 127
VERNON HILLS, IL
60061-1590

Practice Phone: 847-281-7670
Practice Fax: 847-281-7671

1023850377 — ZIVIEA INC
Practice Location Address:

50 LAKEVIEW PKWY STE 121
VERNON HILLS, IL
60061-1590

Practice Phone: 352-740-5668
Practice Fax:

1598592974 — DR. ALEX M KLUEMPER DMD, MS
Practice Location Address:

1590 COSHOCTON AVE
MOUNT VERNON, OH
43050-1558

Practice Phone: 740-397-2111
Practice Fax:

1609739515 — MEDI MOBILE GROUP
Practice Location Address:

29219 CANWOOD ST STE 240
AGOURA HILLS, CA
91301-1590

Practice Phone: 747-315-3813
Practice Fax: 747-315-3823

1114922630 — PRASAD VENKATA KANNAEGANTI MD
Practice Location Address:

6331 BOULEVARD 26 , SUITE 220
NORTH RICHLAND HILLS, TX
76180-1590

Practice Phone: 817-628-0284
Practice Fax: 817-628-0288

1205886207 — IRA M EPSTEIN DO
Practice Location Address:

6331 BOULEVARD 26 , STE 220
NORTH RICHLAND HILLS, TX
76180-1590

Practice Phone: 817-628-0284
Practice Fax: 817-628-0288

Directions to “DR. TINA KHOURY, D.M.D., P.C. ” 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 © 2007-2025 (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.