NPI 1003089251
Dcp of Illinois - Crystal Lake
Practice location
- Address
- 1145 South Route 31 Siute J, Crystal Lake, IL 60039
- Phone
- (815) 477-5399
- Fax
- (815) 477-2593
- Mailing address
- 5875 Landerbrook Dr #250, Mayfield Heights, OH 44124-6511
Authorised official
- Name
- Lauren Hill
- Title
- Rcm, Director
- Phone
- (972) 930-7707
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1003089251
- Entity type
- Organization
- NPI issued
- 9 Apr 2008
- Record last updated
- 20 Sep 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.