Dr. Joseph Neil Dehoogh, D.D.S.
Dentist, General Practice in Great Lakes, IL. Individual provider (NPI-1).
NPI number1376528083
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1376528083
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joseph Neil Dehoogh
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2005
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4921 | OK | Yes |
Practice location
3001 6th St Ste AGreat Lakes, IL 60088-2833
Phone 847-688-2100 · Fax 847-688-5995
Mailing address
1023 Dawes StLibertyville, IL 60048-3565
Phone 847-688-2100 · Fax 847-688-5995
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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