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Contact Information

ADVANCED ENDODONTICS, PC
103 S. GREENLEAF STREET
SUITE K
GURNEE, IL60031
 Phone: 847-782-0048
 Fax: 847-782-0102
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ADVANCED ENDODONTICS PC · (Female)

NPI Number 1588163364
Status Active
Credentials
Entity Individual
Enumeration date 02/07/2018
Last updated 02/07/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 019.020999
  • IL License # 021.001771
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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