Individual
DR. MARK J AMIDEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDC
Contact information
Practice address
1810 N DELANY RD, GURNEE, IL 60031-1263
(847) 623-5530
(847) 623-7233
Mailing address
1810 N DELANY RD, GURNEE, IL 60031-1263
(847) 623-5530
(847) 623-7233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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