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Individual

DR. MICHAEL JOHN BICKNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS., MS

Contact information

Practice address
275 N YORK ST STE 200, ELMHURST, IL 60126-2780
(630) 832-8320
Mailing address
182 N ELM AVE, ELMHURST, IL 60126-2609
(630) 834-4552

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19025027
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
21-002051
IL

Other

Enumeration date
10/23/2006
Last updated
09/11/2025
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