Individual
DR. EMILIO CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4343 OLD GRAND AVE, STE-112, GURNEE, IL 60031
(312) 719-2582
Mailing address
4343 OLD GRAND AVE, STE-112, GURNEE, IL 60031
(312) 719-2582
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100097715
WI
Other
Enumeration date
09/04/2014
Last updated
05/23/2018
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