Individual
DR. KEITH MELLOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1893 SHERIDAN RD, SUITE 318, HIGHLAND PARK, IL 60035
(847) 433-9350
(847) 433-9355
Mailing address
1893 SHERIDAN ROAD, SUITE 318, HIGHLAND PARK, IL 60035
(847) 433-9350
(847) 433-9355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
A17241
IL
1223G0001X
General Practice Dentistry
019.017241
IL
Other
Enumeration date
11/24/2006
Last updated
03/26/2018
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