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Individual

DR. JACOB WHIPPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
534 GREEN BAY RD, KENILWORTH, IL 60043-1801
(847) 251-5136
(847) 251-1365
Mailing address
534 GREEN BAY RD, KENILWORTH, IL 60043-1801
(847) 251-5136
(847) 251-1365

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027034
IL

Other

Enumeration date
11/24/2008
Last updated
11/24/2008
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