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Contact Information

DE LOS REYES DENTAL LTD.
300 N. MILWAUKEE AVENUE
STE. A
LAKE VILLA, IL60046
 Phone: 847-699-2358
 Fax: 847-265-0744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DE LOS REYES DENTAL LTD.

NPI # 1245463371
LBN Legal business name DE LOS REYES DENTAL LTD.
Authorized official AMELIA DE LOS REYES - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2009
Last updated 08/24/2009 - About 17 years ago
Identifiers
IL License # 019-021017
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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