Mclean Dental Clinic, P.C.

LBN: Mclean Dental Clinic, P.C.
Mclean Dental Clinic, P.C. is an health care organization with primary practice located at 552 N Mclean Blvd , Elgin IL 60123-3242. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Mclean Dental Clinic, P.C. can be contacted via phone (847) 931-9744, or through Siddique, Mumtaz via phone (847) 931-9744.

Contact Information

Primary practice address
552 N Mclean Blvd Elgin IL 60123-3242
Phone: (847) 931-9744
Fax: (847) 931-7726
Website:
Map and Directions
Authorized official contact:
Name: Siddique, Mumtaz D.D.S., M.SC.
Phone: (847) 931-9744

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 019022632 Illinois

Profile Details

NPI number 1295122539
LBN Legal business name Mclean Dental Clinic, P.C.
DBA Doing business as
Authorized official Siddique, Mumtaz D.D.S., M.SC.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2015
Last updated Apr 24th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295122539 NPPES
Illinois MEDICAID 019022632

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