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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 P.C.

NPI # 1073900411
LBN Legal business name NORTHWEST DENTIQ CENTER P.C.
Authorized official KALPIT SHAH - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2015
Last updated 04/23/2015 - About 11 years ago
Identifiers
IL License # 019028407
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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