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Lake Cook Dental Center — NPI 1487992327, Itasca, IL | NPI Central

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NPI 1487992327

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Lake Cook Dental Center

NPI 1487992327 · Customized Equipment (DME) · Itasca, IL

Provider details

NPI number: 1487992327
Entity type: Organization
Primary specialty: Customized Equipment (DME)Suppliers
Organization subpart: No
Authorized official: Rose Lesniak, President(847) 250-5580
License: 019025184 (IL)

Specialties & taxonomies

Customized Equipment (DME)Primary332BC3200XLicense 019025184 (IL)
Suppliers

Practice location

115 W Orchard St

Itasca, IL 60143-1700

Phone: (847) 250-5580

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

115 W Orchard St

Itasca, IL 60143-1700

Registry dates

Enumerated: 2013-01-28
Last updated: 2013-01-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.