Individual
DR. JACK GEISSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1363 N ASHLAND AVE, CHICAGO, IL 60622-2262
(815) 922-3635
Mailing address
1363 N ASHLAND AVE, CHICAGO, IL 60622-2262
(815) 922-3635
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.035251
IL
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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