Individual
DR. ROBERT STEVEN MCGONIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17519 80TH AVE, TINLEY PARK, IL 60477
(708) 429-2111
(708) 429-1616
Mailing address
17519 80TH AVE, TINLEY PARK, IL 60477
(708) 429-2111
(708) 429-1616
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020610
IL
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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