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Contact Information

NORTH SUBURBAN ENDODONTICS PC
4165 OLD GRAND AVE
GURNEE, IL60031
 Phone: 847-623-4910
 Fax: 847-623-6054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for NORTH SUBURBAN ENDODONTICS PC

NPI Number 1932322021
LBN Legal business name NORTH SUBURBAN ENDODONTICS PC
Authorized official KERMIT RADKE - (ENDODONTIST OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
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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