Individual
BRADLEY SHEMLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3440 OHIO ST, GREAT LAKES, IL 60088-3155
(847) 688-2100
Mailing address
3440 OHIO ST, GREAT LAKES, IL 60088-3155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104010
CA
Other
Enumeration date
08/18/2019
Last updated
08/18/2019
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