Individual
DR. MICHELLE P JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6520 JOLIET RD, COUNTRYSIDE, IL 60525
(708) 354-4545
(708) 354-0336
Mailing address
325 ST CHARLES CT, LOCKPORT, IL 60441-3676
(815) 838-5042
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
021001561
IL
Other
Enumeration date
04/23/2007
Last updated
08/11/2018
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