location
search-icon
institution
Edp Of Illinois P.c
Dental Clinic/Center in Dupo, Illinois
NPI 1154712784

Edp Of Illinois P.c is a Dental Clinic/Center based in Chicago, IL and is specialized in Dental. Edp Of Illinois P.c practices in Dupo, IL. The NPI Number for Edp Of Illinois P.c is 1154712784 and holds a License No. 021.001656 (Illinois).

The current practice location address for Edp Of Illinois P.c is 195 S Main St, Dupo, IL and can be reached out via phone at 312-800-1270.

Location: 195 S Main St, Dupo, IL, 60604-3048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154712784
Provider Name
Edp Of Illinois P.c
Credential
Provider Entity Type
Organization
Address
195 S Main St, Dupo, IL, 60604-3048
Phone Number
312-800-1270
Fax Number
Provider Enumeration Date
02/18/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
195 S Main St
City
Dupo
State
Illinois
Zip
62239-1347
Phone Number
312-800-1270
Fax Number
person
Provider Business Mailing Address Details
Address
195 S Main St
City
Dupo
State
Illinois
Zip
62239-1347
Phone Number
312-800-1270
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
021.001656 (Illinois)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.