Individual
DR. BRIAN EDWIN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
13011 S 104TH AVE, SUITE # 209, PALOS PARK, IL 60464-1506
(708) 974-0278
Mailing address
13011 S 104TH AVE, SUITE # 209, PALOS PARK, IL 60464-1506
(708) 974-0278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.027383
IL
Other
Enumeration date
11/16/2010
Last updated
02/07/2015
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