DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DENTAL PROFESSIONALS OF ILLINOIS, P.C

MEDICARE: DENTAL PROFESSIONALS OF ILLINOIS, 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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1659955052
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTAL PROFESSIONALS OF ILLINOIS, P.C
Provider Business Mailing Address
First Line : 55 S MAIN ST STE 241
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-5377
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 55 S MAIN ST STE 241
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-5377
Country : US
Telephone Number : 630-848-2010
Fax Number :
Authorized Official
Title or Position : CREDENTIALING COORDINATOR
Name : TABATHA LEMKE
Credential :
Telephone Number : 217-540-6078
Provider Enumeration Date : 05/11/2021
Last Update Date : 05/11/2021

Similar Medicare Providers

1326939992 — MINDFUL PSYCHIATRY AND HEALTH PLLC
Practice Location Address:
55 S MAIN ST STE 240
NAPERVILLE, IL
60540-5377
Practice Phone: 630-808-0780
Practice Fax:
1053322867 — DR. STEVEN YUAN D.D.S.
Practice Location Address:
55 S MAIN ST STE 241
NAPERVILLE, IL
60540-5377
Practice Phone: 630-848-2010
Practice Fax:
1447644802 — INNOVATIVE PEDIATRIC DENTISTRY
Practice Location Address:
55 S MAIN ST STE 241
NAPERVILLE, IL
60540-5377
Practice Phone: 630-848-2010
Practice Fax: 630-848-2011
1720711864 — SAMHITHA PASUPULETI DMD
Practice Location Address:
55 S MAIN ST STE 241
NAPERVILLE, IL
60540-5377
Practice Phone: 630-848-2010
Practice Fax:
1003536269 — DR. TAWFIK ABDUL DAYEM
Practice Location Address:
55 S MAIN ST STE 241
NAPERVILLE, IL
60540-5377
Practice Phone: 630-848-2010
Practice Fax:
1144003104 — JENNIE KIM DMD
Practice Location Address:
55 S MAIN ST STE 241
NAPERVILLE, IL
60540-5377
Practice Phone: 630-848-2010
Practice Fax:

Directions to “DENTAL PROFESSIONALS OF ILLINOIS, 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 © 2007-2026 (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.