Organization · Type 2 NPI
Lake Cook Dental Center
Customized Equipment (DME) · Itasca, IL
NPI number
1487992327
Active
Practice location
115 W Orchard St
Itasca, IL 60143-1700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 019025184 (IL) |
Customized Equipment (DME): Definition to come...
Another provider at this address
About NPI 1487992327
Lake Cook Dental Center's National Provider Identifier is 1487992327, issued on Jan 28, 2013. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Itasca, IL. The record was last updated on Jan 28, 2013.