Individual
JACK CHRISTOPHER AMRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1285 MAIN STREET, CRETE, IL 60417
(708) 672-0772
(708) 672-0089
Mailing address
1285 MAIN STREET, CRETE, IL 60417
(708) 672-0772
(708) 672-0089
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16487
IL
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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