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Individual

DR. JEFFREY R WINTERICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3435 W IRVING PARK RD, CHICAGO, IL 60618-3217
(773) 588-8200
(773) 588-8208
Mailing address
3435 W IRVING PARK RD, CHICAGO, IL 60618-3217
(773) 588-8200
(773) 588-8208

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027762
IL

Other

Enumeration date
11/25/2008
Last updated
12/02/2011
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