Procare Dental Group, P.C.
Dentist in McHenry, IL. Organization (NPI-2).
NPI number1245304450
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1245304450
- Entity type
- Organization (NPI-2)
- Legal business name
- Procare Dental Group, P.C.
- Organization subpart
- No
- Enumeration date
- Nov 20, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 060-008822 | IL | Yes |
Other names
- Boonecreek Dentistry (Doing Business As)
Practice location
5404 W Elm StSte F
McHenry, IL 60050-4052
Phone 815-759-0871 · Fax 815-759-0875
Mailing address
605 E Algonquin RdSte 300
Arlington Heights, IL 60005-4373
Phone 847-640-1112 · Fax 847-640-1107
Authorized official
Robert G Brunetti
Ceo
8476401112
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