Provider Demographics
NPI:1851318588
Name:HARRY J. KIRILUK DDS LTD
Entity Type:Organization
Organization Name:HARRY J. KIRILUK DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:KIRILUK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-397-7161
Mailing Address - Street 1:1622 E ALGONQUIN RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4191
Mailing Address - Country:US
Mailing Address - Phone:847-397-7161
Mailing Address - Fax:
Practice Address - Street 1:1622 E ALGONQUIN RD
Practice Address - Street 2:SUITE C
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4191
Practice Address - Country:US
Practice Address - Phone:847-397-7161
Practice Address - Fax:847-397-7157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental