Individual
DR. JONATHAN DAVID ROHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8100 FOREST HILLS RD, LOVES PARK, IL 61111-2709
(815) 633-9864
Mailing address
8100 FOREST HILLS RD, LOVES PARK, IL 61111-2709
(815) 633-9864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028627
IL
Other
Enumeration date
07/04/2011
Last updated
07/04/2011
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