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Meadow Lake Dental Llc
Preferred Provider Organization in Aurora, Illinois
NPI 1972904282

Meadow Lake Dental Llc is a Preferred Provider Organization based in Schaumburg, IL. Meadow Lake Dental Llc practices in Aurora, IL. The NPI Number for Meadow Lake Dental Llc is 1972904282 and holds a License No. 019021506 (Illinois).

The current practice location address for Meadow Lake Dental Llc is 3941 75Th St, Aurora, IL and can be reached out via phone at 630-851-5130 and via fax at 630-851-5739.

Location: 3941 75Th St, Aurora, IL, 60193-5538
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972904282
Provider Name
Meadow Lake Dental Llc
Credential
Provider Entity Type
Organization
Address
3941 75Th St, Aurora, IL, 60193-5538
Phone Number
630-851-5130
Fax Number
630-851-5739
Provider Enumeration Date
09/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1144341108 01 IL NPPES
institution
Provider Business Practice Location Address Details
Address
3941 75Th St
City
Aurora
State
Illinois
Zip
60504-7924
Phone Number
630-851-5130
Fax Number
630-851-5739
person
Provider Business Mailing Address Details
Address
3941 75Th St
City
Aurora
State
Illinois
Zip
60504-7924
Phone Number
630-851-5130
Fax Number
630-851-5739
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
019021506 (Illinois)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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