Individual
STEPHANIE MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 MAIN ST, SUITE 315, DOWNERS GROVE, IL 60516-3493
(630) 696-5350
Mailing address
24 DEER LN, LEMONT, IL 60439-2917
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
IL
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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