Individual
JENNIFER ANN SELUZICKI WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 SAMPSON ST, NORTH CHICAGO, IL 60088-2942
(847) 688-2469
Mailing address
2410 SAMPSON ST, NORTH CHICAGO, IL 60088-2942
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032258
IL
Other
Enumeration date
05/11/2018
Last updated
08/15/2021
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