Family Orthodontics of Lake County, P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

FAMILY ORTHODONTICS OF LAKE COUNTY, P.C.

Practice address

5384 Grand Ave
Gurnee, IL 60031-1734

Phone

(847) 662-7755

Fax

(847) 662-7723

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Christine Lee, DDSNPI 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 Authorized official

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1376360263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5384 GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311734",
            "telephone_number": "847-662-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5384 GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311734",
            "telephone_number": "847-662-7755",
            "fax_number": "847-662-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ORTHODONTICS OF LAKE COUNTY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-662-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Care 4 U, S.C.
• Eye Care Center of Lake County, LTD
• Eye Care Center of Lake County, LTD
• Eye Care Center of Lake County, LTD
• Family Focused Healthcare
• Family Smile Center,Inc.
• Matthew Farcus, CRNA
• Kendall Farmer
• Asna Fazal, RPH
• Felicia S Mata DMD LTD

• Orthodontics and Dentofacial Orthopedics Dentistry in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.