Individual
DR. JOHN ROBERT THODOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1437 MERCHANT DR, ALGONQUIN, IL 60102-5917
(847) 458-1437
(847) 458-1628
Mailing address
1437 MERCHANT DR, ALGONQUIN, IL 60102-5917
(847) 458-1437
(847) 458-1628
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.0011229
IL
Other
Enumeration date
02/15/2013
Last updated
07/09/2015
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