Provider Demographics
NPI:1053484055
Name:COTTAGE HILL DENTAL CARE, LTD.
Entity Type:Organization
Organization Name:COTTAGE HILL DENTAL CARE, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEFFENS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-530-7998
Mailing Address - Street 1:360 W. BUTTERFIELD RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126
Mailing Address - Country:US
Mailing Address - Phone:630-530-7998
Mailing Address - Fax:630-530-2684
Practice Address - Street 1:135 N ADDISON AVE STE B
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2819
Practice Address - Country:US
Practice Address - Phone:630-530-7998
Practice Address - Fax:630-530-2684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019016370122300000X
IL019.0163701223G0001X
1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty