Grise', Lorelei Lynne

Grise', Lorelei Lynne is an individual health care provider with primary practice located at 439 Lake St , Antioch IL 60002-1472. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is her primary health care specialty. Grise', Lorelei Lynne can be contacted via phone (847) 395-3250.

Contact Information

Primary practice address
439 Lake St Antioch IL 60002-1472
Phone: (847) 395-3250
Fax: (847) 395-4045
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019022485 Illinois
Dental Providers / Periodontics 1223P0300X 021001648 Illinois

Profile Details

NPI number 1003939992
LBN Legal business name Grise', Lorelei Lynne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2007
Last updated Apr 9th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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