Prairie Orthodontics Pc

NPI 1033284831 - Dentist - 1223X0400X

NPI Details
NPI 1033284831
Enumeration Date 11/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRIDGET O BRIDGET
Position OFFICE MANAGER
Phone (847) 249-8800
Fax (847) 249-8869
Practice Location
6121 WASHINGTON ST
SUITE 204
GURNEE IL, 60031, US
Phone (847) 249-8800
Fax (847) 249-8869
Business Location
6121 WASHINGTON ST
SUITE 204
GURNEE IL, 60031, US
Phone (847) 249-8800
Fax (847) 249-8869
Toxanomy
Taxonomy Code 1223X0400X
License State Illinois
License Number 06006486
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According to our database, Prairie Orthodontics Pc NPI is 1033284831, taxonomy code is 1223X0400X and license number is 06006486, license state is located at Illinois. Prairie Orthodontics Pc physically located at 6121 Washington St, Gurnee IL, 60031. NPI Number 1033115704 has the healthcare provider type.

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1033284831 NPI number is provided on an as is basis without warranty of any kind. 1033284831 is maintained by the National Plan & Provider Enumeration System. The contents of Prairie Orthodontics Pc are for informational purposes only.