Hillestad, Laura Ann

Hillestad, Laura Ann is an individual health care provider with primary practice located at 1566 W Algonquin Rd # 146 , Hoffman Estates IL 60192-1575. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Hillestad, Laura Ann can be contacted via phone (708) 819-0934.

Contact Information

Primary practice address
1566 W Algonquin Rd # 146 Hoffman Estates IL 60192-1575
Fax: (847) 776-0221
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1740451301
LBN Legal business name Hillestad, Laura Ann
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2008
Last updated Mar 21st, 2008 - about 16 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740451301 NPPES
Illinois MEDICAID 9176590

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