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CHASE DOUGLAS PENNINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
101 LIONS DR STE 100, BARRINGTON, IL 60010-3147
(224) 655-6384
Mailing address
101 LIONS DR STE 100, BARRINGTON, IL 60010-3147
(224) 655-6384

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.030827
IL

Other

Enumeration date
07/08/2016
Last updated
07/08/2016
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