Individual
MARGARET BRENNAN KILLEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
811 W WELLINGTON AVE, CHICAGO, IL 60657-5123
(773) 871-1461
Mailing address
200 E CHESTNUT ST APT 421, CHICAGO, IL 60611-2311
(216) 386-7653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
319.021583
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2019
Last updated
12/11/2019
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