Organization
JOHN M CONNESS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL CONNESS DDS (OWNER)
(815) 672-2080
Entity
Organization
Contact information
Practice address
211 ARMORY CT, STREATOR, IL 61364-2768
(815) 672-2080
(815) 672-4119
Mailing address
211 ARMORY CT, STREATOR, IL 61364-2768
(815) 672-2080
(815) 672-4119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018550
IL
Other
Enumeration date
01/15/2016
Last updated
01/26/2016
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