James George Hendrickx, D.D.S.
Individual provider Active NPI General Practice Dentistry · Lindenhurst, IL
NPI 1053409672 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1053409672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Practice address
- 1909 E Grand Ave
Lindenhurst, IL 60046-7960 - Phone
- (847) 356-0260
- Fax
- (847) 265-0365
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019017930 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lindenhurst Dental Health Group | General Practice | Past | Accepting new patients |
| Peter Chung Dental DMD LTD | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Yes |
Addresses
Primary practice location
1909 E Grand Ave
Lindenhurst, IL 60046-7960
Mailing address
1909 E Grand Ave
Lindenhurst, IL 60046-7960
Phone (847) 356-0260
Other providers in Lindenhurst, IL
- Lauren Gruber
- Ivalis Anita Guajardo
- Sarah Gurchak
- Janet Haro
- Heidi J Helgeson Donaubauer
- Highland Park CVS, L.L.C.
- Patricia Hinrichsen
- Pamela M Hinton
- Elisa Joy Holtman
- Hope and Healing Counseling Services
All providers in Lindenhurst, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.