North Suburban Endodontics Pc in Gurnee - Endodontics
North Suburban Endodontics Pc - NPI 1932322021
North Suburban Endodontics Pc is a Endodontics in Gurnee, Illinois. North Suburban Endodontics Pc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for North Suburban Endodontics Pc is 1932322021. The last update date is 2020-08-22.
North Suburban Endodontics Pc's current location address is 4165 Old Grand Ave, Gurnee, Illinois. You can contact this provider via phone number 8476234910 and fax number 8476236054. The mailing address for North Suburban Endodontics Pc is 4165 Old Grand Ave, Gurnee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Suburban Endodontics Pc |
|---|---|
| Address | 4165 Old Grand Ave, Gurnee, Illinois |
| Phone Number | 8476234910 |
| Fax Number | 8476236054 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ENDODONTIS |
|---|---|
| Authorized Official Name | Radke Mason Kermit |
| Credentials | DMD |
| Telephone Number | 8476234910 |
NPI Number Detail
| NPI Number | 1932322021 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4165 Old Grand Ave |
|---|---|
| City | Gurnee |
| State | Illinois (IL) |
| Post Code | 60031 |
| Phone Number | 8476234910 |
| Fax Number | 8476236054 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
|
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Post Comment/ Review Below
What is the unique provider identifier assigned to North Suburban Endodontics Pc?
The North Suburban Endodontics Pc has been issued the NPI (National Provider Identifier) 1932322021 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where North Suburban Endodontics Pc is geographically located?
The North Suburban Endodontics Pc is physically situated at the following location: 4165 Old Grand Ave, Gurnee, IL, 60031.
What is North Suburban Endodontics Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The North Suburban Endodontics Pc's specialized field of practice is Endodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223E0200X.
When was the North Suburban Endodontics Pc's 1932322021 issued?
The North Suburban Endodontics Pc's 1932322021 was issued on 2007-04-10.
As of what date was the information regarding North Suburban Endodontics Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to North Suburban Endodontics Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.