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Individual

DR. BEVERLY N CRUTHIRDS CALLAWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8000
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029680
IL
122300000X
Dentist
7184-15
WI

Other

Enumeration date
11/08/2013
Last updated
08/18/2016
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