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1003089251
DCP OF ILLINOIS - CRYSTAL LAKE
CRYSTAL LAKE, IL
NPI
1003089251
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Entity Type
Organization
Authorized Contact
LAUREN HILL
Rcm, Director
972-930-7707
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2008-04-09
Last Update Date
2022-09-20
Business Address
DCP OF ILLINOIS - CRYSTAL LAKE
1145 SOUTH ROUTE 31 SIUTE J
CRYSTAL LAKE, IL 60039
Phone number: 815-477-5399
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Mailing Address
DCP OF ILLINOIS - CRYSTAL LAKE
5875 LANDERBROOK DR #250
MAYFIELD HEIGHTS, OH 44124-6511
Phone number: 800-487-4867
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