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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDP OF ILLINOIS P.C

Active Organization

Dental Clinic · DUPO, IL

Registration Details

NPI Number
1154712784
Provider Type
Organization
NPI Issued
Feb 18, 2015 (11.189729707764 yrs)
Last Updated
Sep 29, 2021
License
021.001656 (IL)

Practice Information

Address
195 S MAIN ST
DUPO, IL, 622391347
Browse IL providers · Browse ZIP 62239
Phone
3128001270
Primary Specialty
Dental Clinic
261QD0000X
Additional Specialty
Dental Clinic

Other Dental Clinic Organizations in DUPO, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.