Lagrange Periodontics, Ltd
Lagrange Periodontics, Ltd is a Periodontics in Countryside, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6520 Joliet RdCountryside, IL 60525
Phone: (708) 354-4545
Fax: (708) 354-0336
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 21001561 (IL) |
|---|---|
| Periodontics | Taxonomy 1223P0300X · Licence 21001423 (IL) |
Record details
| NPI number | 1023175775 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michelle Jennings — President/Periodontist · (708) 354-4545 |
| NPI enumerated | January 2, 2007 |
| Last updated in NPPES | October 30, 2019 |
| Mailing address | 6520 Joliet Rd, Countryside, IL 60525-4649 |
Other providers in Countryside
-
Dr. Eugene J Buksa, DDS, MS
475 W 55th St Ste 201, Countryside, IL 60525-3566 · (708) 354-4545
-
Dr. Michelle P Jennings, DDS
6520 Joliet Rd, Countryside, IL 60525 · (708) 354-4545
-
Lagrange Perio LLC
6520 Joliet Rd, Countryside, IL 60525-4649 · (708) 354-4545