Lake Cook Dental Center
Lake Cook Dental Center provides Customized Equipment (DME) in Itasca, Illinois. Licensed in Illinois. Registered with an NPI since 2013.
- Licensed in
- IL
- In the registry since
- 2013
Practice location Address checks out
115 W Orchard StItasca, IL 60143-1700 Not confirmed with CMS for 13 years — call before visiting
Phone: (847) 250-5580
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X · Licence 019025184 (IL) |
|---|
Record details
| NPI number | 1487992327 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rose Lesniak — President · (847) 250-5580 |
| NPI enumerated | January 28, 2013 |
| Last updated in NPPES | January 28, 2013 |
| Mailing address | 115 W Orchard St, Itasca, IL 60143-1700 |