Organization
CAROLYN BRONKE WIND DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN ANNE BRONKE WIND (OWNER)
(708) 354-1335
Entity
Organization
Contact information
Practice address
507 S LA GRANGE RD, LA GRANGE, IL 60525-6740
(708) 354-1335
(708) 354-1336
Mailing address
507 S LA GRANGE RD, LA GRANGE, IL 60525-6740
(708) 354-1335
(708) 354-1336
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
01/15/2007
Last updated
08/22/2020
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