Individual
DR. DARLENE JO BUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
12200 WESTERN AVE, #108, BLUE ISLAND, IL 60406-1398
(708) 385-3700
(708) 385-3707
Mailing address
430 W ERIE ST, STE 200, CHICAGO, IL 60610-6914
(312) 274-9957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/30/2008
Last updated
03/30/2008
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