Illinois Dental Providers (Glen Ellyn), Ltd

LBN: Illinois Dental Providers (Glen Ellyn), Ltd
Illinois Dental Providers (Glen Ellyn), Ltd is an health care organization with primary practice located at 701 Roosevelt Rd , Glen Ellyn IL 60137-5805. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Illinois Dental Providers (Glen Ellyn), Ltd can be contacted via phone (630) 790-8430, or through Nittinger, Rachel via phone (972) 755-0816.

Contact Information

Primary practice address
701 Roosevelt Rd Glen Ellyn IL 60137-5805
Phone: (630) 790-8430
Fax: (216) 584-1056
Website:
Map and Directions
Authorized official contact:
Name: Nittinger, Rachel
Phone: (972) 755-0816

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1306217252
LBN Legal business name Illinois Dental Providers (Glen Ellyn), Ltd
DBA Doing business as
Authorized official Nittinger, Rachel
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 16th, 2015
Last updated Mar 20th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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