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GENERALHEALTHGROUP OF ILLINOIS NPI 1801531231


NPI Information

NPI: 1801531231
Provider Name: GENERALHEALTHGROUP OF ILLINOIS

Doing Business As: DENTAL ASSOCIATES OF PALOS PARK

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
11900 SOUTHWEST HWY STE 204
PALOS PARK, IL
ZIP 60464
Phone: (708) 448-5800
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GENERALHEALTHGROUP OF ILLINOIS is a dental clinic center in Palos Park, IL. GENERALHEALTHGROUP OF ILLINOIS NPI is 1801531231. The provider is registered as an organization entity type.
The provider Is Doing Business As Dental Associates Of Palos Park.

The provider's business location address is:

11900 SOUTHWEST HWY STE 204
PALOS PARK, IL
ZIP 60464-307
Phone: (708) 448-5800

The provider's authorized official is Christopher Isabelle .
The authorized official title is Dental Associate and has the following contact phone number (708) 415-6507.

The enumeration date for this NPI number is 4/30/2022 and was last updated on 9/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11649654898OTHERILLINOISNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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