DCP OF ILLINOIS - CRYSTAL LAKE NPI 1003089251

NPI Information

  • NPI: 1003089251
  • Provider Name: DCP OF ILLINOIS - CRYSTAL LAKE
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1145 SOUTH ROUTE 31
    SIUTE J
    CRYSTAL LAKE, IL
    ZIP 60039
  • Phone: (815) 477-5399

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NPI Details

DCP OF ILLINOIS - CRYSTAL LAKE is a general practice dentist in Crystal Lake, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DCP OF ILLINOIS - CRYSTAL LAKE NPI is 1003089251. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1145 SOUTH ROUTE 31
SIUTE J
CRYSTAL LAKE, IL
ZIP 60039
Phone: (815) 477-5399
Fax: (815) 477-2593

The provider's authorized official is Lauren Hill .
The authorized official title is Rcm, Director and has the following contact phone number (972) 930-7707.

The enumeration date for this NPI number is 4/9/2008 and was last updated on 9/20/2022.

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
11223G0001XDentistGeneral PracticeYes

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: 3/30/2025

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