Individual
COREY HARRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
402 SOUTH LEWIS LANE, CARBONDALE, IL 62901
(618) 519-9901
(618) 519-9375
Mailing address
109 CALIFORNIA STREET, PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 985-8221
(618) 985-4635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.030075
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019030075
—
IL
Enumeration date
11/17/2014
Last updated
02/03/2015
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