Children'S Dentistry of Lake County and Associates, P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

021001782 Issued in IL

Legal business name

CHILDREN'S DENTISTRY OF LAKE COUNTY AND ASSOCIATES, P.C.

Practice address

5250 Grand Ave Ste 7
Gurnee, IL 60031-1877

Phone

(847) 662-7755

Fax

(847) 662-7723

NPI assigned

Apr 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christine S Lee, D.D.S.NPI 1063521185

Title

President

Phone

(847) 662-7755

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine S Lee, D.D.S.

  • Pediatric Dentistry
  • Gurnee, IL
  • NPI 1063521185
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1124245527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 GRAND AVE STE 7",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311877",
            "telephone_number": "847-662-7755",
            "fax_number": "847-662-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 GRAND AVE STE 7",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311877",
            "telephone_number": "847-662-7755",
            "fax_number": "847-662-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTISTRY OF LAKE COUNTY AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-662-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "021001782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wai C. Cheung-O'Carroll, M.D.
• William Cheung, MD
• Nikita Chevalier, MD
• Shakuntala Chhabria, M.D.
• Chicago Medical Clinic LLC
• Children'S Health Center, S.C.
• Manali Chingre, DPM
• Mathews Chirayil
• Chiropractic Plus
• Ashley Cho, FNP-BC

• Pediatric Dentistry in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.