Individual
DR. IAN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1315 MACOM DR, SUITE 106, NAPERVILLE, IL 60564-9358
(630) 862-3600
(630) 862-3636
Mailing address
1315 MACOM DR, SUITE 106, NAPERVILLE, IL 60564-9358
(630) 862-3600
(630) 862-3636
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
IL
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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