Individual
DR. JAMES WILLIAM CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
3001A SIXTH ST, GREAT LAKES, IL 60088
(847) 688-3331
Mailing address
3001A SIXTH ST., GREAT LAKES, IL 60088-2209
(847) 688-3331
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
021-01184
IL
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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