Individual
DR. ANDREW P. WYSHNYTZKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2525 WAUKEGAN RD, SUITE 265, BANNOCKBURN, IL 60015-5514
(847) 948-5988
(847) 948-5997
Mailing address
2525 WAUKEGAN RD, SUITE 265, BANNOCKBURN, IL 60015-5514
(847) 948-5988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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