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NPI Code Detail

MEDICARE: DANIEL A DOHNALEK DDS LTD

MEDICARE: DANIEL A DOHNALEK DDS LTD
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
11223G0001XGeneral Practice Dentistry019018679IL

General Provider Information

NPI Number : 1225144637
Entity Type Code : Organization
Provider Name (Legal Business Name) : DANIEL A DOHNALEK DDS LTD
Provider Business Mailing Address
First Line : 1394 S US HIGHWAY 12
Second Line :
City : FOX LAKE
State : IL
Zip : 60020-1949
Country : US
Telephone Number : 847-587-5053
Fax Number :
Provider Business Practice Location Address
First Line : 1394 S US HIGHWAY 12
Second Line :
City : FOX LAKE
State : IL
Zip : 60020-1949
Country : US
Telephone Number : 847-587-5053
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. DANIEL A DOHNALEK
Credential : DDS
Telephone Number : 847-587-5053
Provider Enumeration Date : 08/21/2006
Last Update Date : 06/30/2008

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Directions to “DANIEL A DOHNALEK DDS LTD ” Practice Location

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