Provider Demographics
NPI:1881014553
Name:L & H INTERNATIONAL ORTHODONTICS P.C.
Entity Type:Organization
Organization Name:L & H INTERNATIONAL ORTHODONTICS P.C.
Other - Org Name:PLAZA ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:ACEVEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-251-3323
Mailing Address - Street 1:1625 SHERIDAN RD STE H
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1800
Mailing Address - Country:US
Mailing Address - Phone:847-251-3323
Mailing Address - Fax:847-251-0193
Practice Address - Street 1:1625 SHERIDAN RD STE H
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-1800
Practice Address - Country:US
Practice Address - Phone:847-251-3323
Practice Address - Fax:847-251-0193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0210022691223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty