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Contact Information

NORTHWEST DENTIQ CENTER P.C.
2401 W. RT 20
STE 103
PINGREE GROVE, IL60140
 Phone: 847-462-4330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for NORTHWEST DENTIQ CENTER PC · (Female)

NPI Number 1073900411
Status Active
Credentials
Entity Individual
Enumeration date 04/23/2015
Last updated 04/23/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 019028407
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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