Individual
GLENN JON ZIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2241 THEODORE ST, CREST HILL, IL 60435-1881
(815) 741-1700
Mailing address
335 OLIN CT, ALGONQUIN, IL 60102-3122
(847) 204-2725
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-0187542
IL
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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