Individual
LOUIS G MERCURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
LOYOLA UNIVERSITY MEDICAL CENTER, 2160 S FIRST AVE 101 1740, MAYWOOD, IL 60153
(708) 216-9000
(708) 216-9033
Mailing address
LOYOLA UNIVERSITY MEDICAL CENTER, 2160 S FIRST AVE 101 1740, MAYWOOD, IL 60153
(708) 216-9000
(708) 216-9033
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
IL
208600000X
Surgery Physician
—
IL
Other
Enumeration date
11/07/2006
Last updated
03/12/2008
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