Organization
SANDRA E YOUNAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE JONES (MANGER)
(773) 687-8052
Entity
Organization
Contact information
Practice address
1105 MILWAUKEE AVE, RIVERWOODS, IL 60015-3512
(847) 215-1391
Mailing address
1105 MILWAUKEE AVE, RIVERWOODS, IL 60015-3512
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-026174
IL
122300000X
Dentist
019-029332
IL
122300000X
Dentist
019-030017
IL
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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