Provider Demographics
NPI:1588343321
Name:RHIE, ESTHER E (DMD)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:E
Last Name:RHIE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31700 N US HIGHWAY 12
Mailing Address - Street 2:
Mailing Address - City:LAKEMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60051-8005
Mailing Address - Country:US
Mailing Address - Phone:815-322-1587
Mailing Address - Fax:
Practice Address - Street 1:31700 N US HIGHWAY 12
Practice Address - Street 2:
Practice Address - City:LAKEMOOR
Practice Address - State:IL
Practice Address - Zip Code:60051-8005
Practice Address - Country:US
Practice Address - Phone:815-322-1587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.034450122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist