Michael Lee Primack in Lake Forest - General Practice

Michael Lee Primack - NPI 1710095542

Michael Lee Primack is a General Practice in Lake Forest, Illinois. Michael Lee Primack practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael Lee Primack is 1710095542. The last update date is 2009-02-05.

Michael Lee Primack's current location address is 860 Waveland Rd, Lake Forest, Illinois. You can contact this provider via phone number 8472342416. The mailing address for Michael Lee Primack is 860 Waveland Rd, Lake Forest, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Lee Primack
Address 860 Waveland Rd, Lake Forest, Illinois
Phone Number 8472342416
Fax Number
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1710095542
Provider Enumeration Date 2006-08-29
Last Updated Date 2009-02-05

Provider Mailing Address Detail

Address 860 Waveland Rd
City Lake Forest
State Illinois (IL)
Post Code 600453944
Phone Number 8472342416
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 019-013904
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Michael Lee Primack

What is the unique identifier code issued to Michael Lee Primack by the Centers for Medicare & Medicaid Services (CMS)?

The Michael Lee Primack has been assigned the NPI (National Provider Identifier) 1710095542. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Michael Lee Primack's facilities are geographically located?

The facilities of Michael Lee Primack are physically situated at the following location: 860 Waveland Rd, Lake Forest, IL, 600453944.

What is the Michael Lee Primack's specialty and taxonomy code?

The Michael Lee Primack's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did Michael Lee Primack receive its 1710095542 assignment from the Centers for Medicare & Medicaid Services?

The Michael Lee Primack was assigned its 1710095542 on 2006-08-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Michael Lee Primack's information last updated?

The Michael Lee Primack's information was last updated on 2009-02-05.

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