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Hamilton Lakes Dentistry — NPI 1700938412, Itasca, IL | NPI Central

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NPI 1700938412

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Hamilton Lakes Dentistry

NPI 1700938412 · Dentist · Itasca, IL

Provider details

NPI number: 1700938412
Entity type: Organization
Primary specialty: DentistDental Providers
Organization subpart: No
Authorized official: Madge Pierce, Office Manager(630) 773-6966
License: TIN (IL)

Specialties & taxonomies

DentistPrimary122300000XLicense TIN (IL)
Dental Providers

Practice location

500 Park Blvd

Suite 180c

Itasca, IL 60143

Phone: (630) 773-6966

Fax: (630) 773-6971

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

500 Park Blvd

Itasca, IL 60143

Registry dates

Enumerated: 2007-01-16
Last updated: 2022-07-21

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