Individual
DR. JON RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2340 N CLYBOURN AVE, CHICAGO, IL 60614-2932
(773) 528-2205
(773) 528-2216
Mailing address
2340 N CLYBOURN AVE, CHICAGO, IL 60614-2932
(773) 528-2205
(773) 528-2216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019017259
IL
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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