Individual
DR. ANDREW JOHN JURSIK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7702 W NORTH AVE, ELMWOOD PARK, IL 60707-4123
(708) 498-3826
Mailing address
7702 W NORTH AVE, ELMWOOD PARK, IL 60707-4123
(708) 498-3826
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032536
IL
Other
Enumeration date
03/30/2015
Last updated
04/28/2020
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