Dcp Of Illinois - Crystal Lake in Crystal Lake - General Practice
Dcp Of Illinois - Crystal Lake - NPI 1003089251
Dcp Of Illinois - Crystal Lake is a General Practice in Crystal Lake, Illinois. Dcp Of Illinois - Crystal Lake practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dcp Of Illinois - Crystal Lake is 1003089251. The last update date is 2022-09-20.
Dcp Of Illinois - Crystal Lake's current location address is 1145 South Route 31, Crystal Lake, Illinois. You can contact this provider via phone number 8154775399 and fax number 8154772593. The mailing address for Dcp Of Illinois - Crystal Lake is 1145 South Route 31, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dcp Of Illinois - Crystal Lake |
|---|---|
| Address | 1145 South Route 31, Crystal Lake, Illinois |
| Phone Number | 8154775399 |
| Fax Number | 8154772593 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RCM, DIREC |
|---|---|
| Authorized Official Name | Hill Lauren |
| Telephone Number | 9729307707 |
NPI Number Detail
| NPI Number | 1003089251 |
|---|---|
| Provider Enumeration Date | 2008-04-09 |
| Last Updated Date | 2022-09-20 |
Provider Mailing Address Detail
| Address | 1145 South Route 31 |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 60039 |
| Phone Number | 8154775399 |
| Fax Number | 8154772593 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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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What is the unique 10-digit identification code assigned to Dcp Of Illinois - Crystal Lake by the Centers for Medicare & Medicaid Services?
The Dcp Of Illinois - Crystal Lake has been issued the NPI (National Provider Identifier) 1003089251, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Dcp Of Illinois - Crystal Lake is located?
The Dcp Of Illinois - Crystal Lake is situated at the following address: 1145 South Route 31, Crystal Lake, IL, 60039.
What is Dcp Of Illinois - Crystal Lake's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dcp Of Illinois - Crystal Lake is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003089251 to Dcp Of Illinois - Crystal Lake?
The Dcp Of Illinois - Crystal Lake received its 1003089251 assignment from the Centers for Medicare & Medicaid Services on 2008-04-09.
When was the information regarding Dcp Of Illinois - Crystal Lake most recently updated?
The details pertaining to the Dcp Of Illinois - Crystal Lake, including its address, specialty, and other relevant information, were last refreshed on 2022-09-20.