Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakemoor Dental

Organization Dentist · NPI 1356719603

Lakemoor Dental provides Dentist services in Lakemoor, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015

Practice location Address checks out

28956 W Rt 120
Lakemoor, IL 60051 Not confirmed with CMS for 11 years — call before visiting
Phone: (815) 363-8888
Fax: (815) 363-8890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019023300 (IL)

Record details

NPI number1356719603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sima Patel — Dentist · (815) 363-8888
NPI enumeratedSeptember 3, 2015
Last updated in NPPESSeptember 3, 2015
Mailing address28956 W. Rt 120, Lakemoor, IL 60051

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