Unknown Individual – General Practice Dentistry, NPI 1942244322
General Practice Dentistry
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5445, Grand Avenue, Gurnee, Lake County, Illinois, 60031, United States
SUITE 202
GURNEE, IL 600311725
Phone: (847) 244-2775
Fax: (847) 244-2777
Type: Location
579, Treetop Lane, Gurnee, Lake County, Illinois, 60031, United States
GURNEE, IL 600315655
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60031)
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