Individual
DR. LAUREN WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3440 OHIO ST, GREAT LAKES, IL 60088-3155
(847) 688-2100
Mailing address
210 N WELLS ST APT 4211, CHICAGO, IL 60606-2000
(412) 552-8799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045223
PA
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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