Primack, Michael Lee

Primack, Michael Lee is an individual health care provider with primary practice located at 860 Waveland Rd , Lake Forest IL 60045-3944. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Primack, Michael Lee can be contacted via phone (847) 234-2416.

Contact Information

Primary practice address
860 Waveland Rd Lake Forest IL 60045-3944
Phone: (847) 234-2416
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-013904 Illinois

Profile Details

NPI number 1710095542
LBN Legal business name Primack, Michael Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Feb 5th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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