Individual
DR. JOHN GERARD MARCHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5133 WASHINGTON ST, SUITE 10, DOWNERS GROVE, IL 60515-4788
(630) 964-7852
Mailing address
5133 WASHINGTON ST, SUITE 10, DOWNERS GROVE, IL 60515-4788
(630) 964-7852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-020451
IL
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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