590 Dental Care LLC
590 Dental Care LLC is a Preferred Provider Organization in Bourbonnais, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
590 William R Latham Sr DrBourbonnais, IL 60914-2320
Phone: (630) 339-3172
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 019018431 (IL) |
|---|
Record details
| NPI number | 1326400078 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alan Acierno — Manager · (630) 339-3172 |
| NPI enumerated | March 22, 2016 |
| Last updated in NPPES | March 28, 2016 |
| Mailing address | 129 S Roselle Rd, Suite 102, Schaumburg, IL 60193-5540 |
Other providers in Bourbonnais
-
Main Street Dentistry LLC
801 Main St NW, Bourbonnais, IL 60914 · (815) 932-3516