Prendergast, Thomas Love

Prendergast, Thomas Love is an individual health care provider with primary practice located at 1394 S Route 12 , Fox Lake IL 60020-1949. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Prendergast, Thomas Love can be contacted via phone (847) 587-5053.

Contact Information

Primary practice address
1394 S Route 12 Fox Lake IL 60020-1949
Phone: (847) 587-5053
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019022387 Illinois

Profile Details

NPI number 1124124821
LBN Legal business name Prendergast, Thomas Love
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Sep 19th, 2014 - about 11 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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