Pingree Grove & C Side Fpd

Specialty details in registry · Elgin, IL

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At a glance

39W160 Plank Rd, Elgin, IL 60123-8002

NPPES record updated Sep 8, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

39W160 Plank Rd
Elgin, IL 60123-8002
Professional details: NPI, taxonomy & registry record
NPI1003914540
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
3416L0300X
Enumeration date
Sep 20, 2006
Record updated
Sep 8, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

3416L0300X · Primary

License reported: 97907 IL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

39W160 Plank Rd
Elgin, IL 60123-8002
Phone
(847) 436-5335
Fax
(847) 436-6420
Mailing address
PO BOX 6253

CAROL STREAM, IL 601976253
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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