Individual
JOHN G. IFANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.C.
Contact information
Practice address
9251 WAUKEGAN RD, MORTON GROVE, IL 60053-2102
(847) 663-0003
(847) 663-0390
Mailing address
9251 WAUKEGAN RD, MORTON GROVE, IL 60053-2102
(847) 663-0003
(847) 663-0390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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