Individual
DR. BRIAN WINSTON KORRECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12507 REGENCY PKWY, HUNTLEY, IL 60142-6500
(847) 669-5421
(847) 669-1113
Mailing address
PO BOX 156, HUNTLEY, IL 60142-0156
(847) 669-5421
(847) 669-1113
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025098
IL
Other
Enumeration date
11/24/2006
Last updated
01/13/2015
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