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Individual

DR. JEFFREY GEORGE DRAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
9535 W 144TH PL, ORLAND PARK, IL 60462-9503
(708) 460-6900
Mailing address
1759 W SURF ST, CHICAGO, IL 60657-6198
(309) 287-2822

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
019.032344
IL

Other

Enumeration date
05/03/2022
Last updated
05/03/2022
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