Provider Demographics
NPI:1407382880
Name:KENNEDY & LIMARDI DENTISTRY, P.C.
Entity Type:Organization
Organization Name:KENNEDY & LIMARDI DENTISTRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIMARDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-955-1500
Mailing Address - Street 1:1425 MCHENRY RD
Mailing Address - Street 2:SUITE #101
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-1365
Mailing Address - Country:US
Mailing Address - Phone:847-955-1500
Mailing Address - Fax:
Practice Address - Street 1:1425 MCHENRY RD
Practice Address - Street 2:SUITE #101
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-1365
Practice Address - Country:US
Practice Address - Phone:847-955-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019028618122300000X
IL019028613122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty